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DR. MARY ANN TACK D.C.
NPI 1346347929
Chiropractor in Newberg, OR

Active since September 17, 2006
901 BRUTSCHER ST, STE 210, NEWBERG, OR 97132(503) 537-2052(503) 538-8315 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Ann Tack D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN TACK D.C. (NPI 1346347929) is an individual chiropractor in Newberg, Oregon, licensed in Oregon (27 2863) and active in the NPI registry since September 2006. She is a graduate of Western States College Of Chiropractic (1993).

NPPES Registry Identity

NPI1346347929
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARY ANN TACKCredential: D.C.
Location Address901 BRUTSCHER ST, STE 210Newberg, OR 97132-6095
Mailing Address901 Brutscher St, Ste 210Newberg, OR 97132-6095 · (503) 537-2052 · Fax (503) 538-8315
Phone(503) 537-2052
Fax(503) 538-8315
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 1993
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1346347929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 27 2863
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
901 BRUTSCHER ST, Newberg, OR 97132
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Other Identifiers 1

Medicaid274833OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ann Tack D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880652817
PECOS Enrollment IDI20041222000427

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYNN CAROL HARRIS D.O.
Family Medicine
901 BRUTSCHER ST, D163
NEWBERG, OR 97132
Yamhill County (503) 625-9190
PATRICIA A WARFORD
Psychologist
901 BRUTSCHER ST, SUITE 214
NEWBERG, OR 97132
Yamhill County (503) 554-8172
PATRICIA WARFORD PSYD, LLC
Community/Behavioral Health
901 BRUTSCHER ST, SUITE 214
NEWBERG, OR 97132
Yamhill County (503) 554-8172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Tack's NPI number?

The NPI number for Mary Ann Tack is 1346347929. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Mary Ann Tack located?

Mary Ann Tack practices at 901 Brutscher St Ste 210, Newberg, OR 97132. The listed phone number is (503) 537-2052.

What is Mary Ann Tack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mary Ann Tack enrolled in Medicare?

Yes. Mary Ann Tack is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann Tack accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mary Ann Tack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ann Tack was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.