NATHAN TANNER PC – NPI #1144862293
Clinic/Center

NATHAN TANNER PC is an AHC clinic located in JACKSON, WY. NPPES has assigned the NPI number 1144862293 to NATHAN TANNER PC on October 10, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATHAN TANNER PC below.

NPI Profile for
NATHAN TANNER PC

NPI Number
1144862293
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NATHAN TANNER PC
Primary location
200 E BROADWAY
JACKSON, WY 83001
Phone: (307) 733-2555 Fax:
Mailing address
PO BOX 1190
JACKSON, WY 83001-1190
Phone: Fax:
Organization Subpart
No
Authorized Official
LYNETTE KRAUSE
INSURANCE COORDINATOR
Phone: (307) 733-2555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.