LISA M PROVENZA-TABAK (D.C.) – Chiropractor, NPI 1871583948

LISA M PROVENZA-TABAK (D.C.) is a healthcare provider. based in Canfield, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2661 (OH). The NPI Number for LISA M PROVENZA-TABAK (D.C.) is 1871583948

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
LISA M PROVENZA-TABAK (D.C.)
NPI
1871583948
Phone
(330) 702-0500
Address
3680 STARRS CENTRE DR
Enumeration Date
28 October 2005
Last Update Date
11 June 2008

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3307020500
Graduation Year
1998 (28 years ago)
PAC ID
2668544313
Professional Enrollment ID
I20080711000568
Address ID
OH444069514CA3680XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

Provider Addresses for LISA M PROVENZA-TABAK (D.C.)

  • 3680 STARRS CENTRE DR

    CANFIELD, OH 444069514

    Phone: (330) 702-0500

    Fax: (330) 702-0575

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080711000568IChiropracticOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions31147$0
View full utilization report →

Insurance plans in this area (ZIP 44406)

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Provider's Procedures

LISA M PROVENZA-TABAK (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICOH98940Chiropractic manipulative treatment, 1-2 spinal regions9115

Reviews

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Frequently asked questions

How is LISA M PROVENZA-TABAK (D.C.) identified in CMS data?
CMS-hosted NPPES data lists LISA M PROVENZA-TABAK (D.C.) with NPI 1871583948.
Can I rely on LISA M PROVENZA-TABAK (D.C.) being an active provider?
As of the registry snapshot, LISA M PROVENZA-TABAK (D.C.) is marked active.
What is LISA M PROVENZA-TABAK (D.C.) best known for clinically?
Directory data describes LISA M PROVENZA-TABAK (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What address line appears for LISA M PROVENZA-TABAK (D.C.)?
LISA M PROVENZA-TABAK (D.C.)'s geographic hint is Canfield, Ohio in our summary view.
Is the information about LISA M PROVENZA-TABAK (D.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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