Healthcare Provider Details

I. General information

NPI: 1912866864
Provider Name (Legal Business Name): TANISHA KAYLA BEGAY DC,MS, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2785
SHIPROCK NM
87420-2785
US

IV. Provider business mailing address

PO BOX 2785
SHIPROCK NM
87420-2785
US

V. Phone/Fax

Practice location:
  • Phone: 505-801-8658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-2026-0006
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: