Individual provider Active NPI

Tena M. Thompson, D.C.

  • Chiropractor
  • Viroqua, WI
National Provider Identifier
1013951045
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3769-012 Issued in WI
Practice address
739 S Main St
Viroqua, WI 54665-2215
Phone
(608) 637-6577
Fax
(608) 637-7799
NPI assigned
Jun 16, 2006
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3769-012 WI Primary

Addresses

Primary practice location

739 S Main St
Viroqua, WI 54665-2215

Mailing address

739 S Main St
Viroqua, WI 54665-2215
Phone (608) 637-6577

Other identifiers 10

IdentifierTypeStateIssuer
649035OtherWIUNITED HEALTHCARE
38944500MedicaidWI
116760OtherWIHEALTH PARTNERS
649035OtherWIGOLDEN RULE
649035OtherWIMEDICA HEALTHPLAN OF WISC
649035OtherWIGE WELLNESS
649035OtherWIHEALTH ALLIES
649035OtherWIMIDWEST SECURITY
649035OtherWIGREAT-WEST HEALTHCARE
649035OtherWIHEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000420 WI Practitioner - Chiropractic 5193734143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

739 S Main St
Viroqua, WI 54665-2215
Phone (608) 637-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3769-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned for Health Chiropractic, S.C. Chiropractor CurrentSince Jul 13, 2005 Accepting new patients
Breidenbach Family and Sports Chiropractic Inc Chiropractor PastSince Jun 21, 2018 Accepting new patients
Back to Health Chiropractic LLC Chiropractor Past Accepting new patients

Locations

739 S Main St
Viroqua, WI 54665
Phone (608) 637-6577

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1013951045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652215",
            "telephone_number": "608-637-6577",
            "fax_number": "608-637-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652215",
            "telephone_number": "608-637-6577",
            "fax_number": "608-637-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TENA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3769-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38944500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "116760",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN RULE",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTHPLAN OF WISC",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE WELLNESS",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIES",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST SECURITY",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTHCARE",
            "identifier": "649035",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NETWORK",
            "identifier": "649035",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.