JOHN CLINTON TANNER M.D. NPI 1780882662

NPI Information

  • NPI: 1780882662
  • Provider Name: JOHN CLINTON TANNER, M.D.
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3366 OAKDALE AVE N
    SUITE 103
    ROBBINSDALE, MN
    ZIP 55422
  • Phone: (763) 520-7870

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NPI Details

John Clinton Tanner, M.D. is a foot and ankle surgery orthopaedic surgery in Robbinsdale, MN with 19 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. John Clinton Tanner, M.D. NPI is 1780882662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3366 OAKDALE AVE N
SUITE 103
ROBBINSDALE, MN
ZIP 55422-948
Phone: (763) 520-7870
Fax: (763) 520-7580

The NPI 1780882662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery4301090393MICHIGANNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery109070MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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