Provider Demographics
NPI:1447275482
Name:TANGPRICHA, DAN (DC)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:TANGPRICHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 SW FAIRLAWN RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-271-7246
Mailing Address - Fax:785-271-7249
Practice Address - Street 1:3512 SW FAIRLAWN RD
Practice Address - Street 2:STE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3981
Practice Address - Country:US
Practice Address - Phone:785-271-7246
Practice Address - Fax:785-271-7249
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04773111N00000X
MO2000166830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST26A760Medicare ID - Type Unspecified