Organization Active NPI

Travis J. Tessendorf DC.PC

  • Chiropractor
  • Columbus, NE
National Provider Identifier
1033324876
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1197 Issued in NE
Legal business name
TRAVIS J. TESSENDORF DC.PC
Doing business as
Tessendorf Chiropractic
Practice address
4315 23Rd St
Columbus, NE 68601-8507
Phone
(402) 564-0193
Fax
(402) 564-9508
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Travis J Tessendorf, D.C.
Title
President
Phone
(402) 564-0193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1197 NE Primary

Addresses

Primary practice location

4315 23Rd St
Columbus, NE 68601-8507

Mailing address

PO Box 727
Columbus, NE 68602-0727
Phone (402) 564-0193

Other names 1

  • Tessendorf Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tessendorf Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4315 23rd St
Columbus, NE 68601
Phone (402) 564-0193

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1033324876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686020727",
            "telephone_number": "402-564-0193",
            "fax_number": "402-564-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686018507",
            "telephone_number": "402-564-0193",
            "fax_number": "402-564-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS J. TESSENDORF DC.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "TESSENDORF",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-564-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tessendorf Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.