Tatum J Kieschnick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15881 Issued in TX

Practice address

3480 Fannin St Ste C
Beaumont, TX 77701-3804

Phone

(409) 832-7776

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tatum Austin Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kieschnick Chiropractic PLLC

  • Chiropractor
  • Port Neches, TX
  • NPI 1942156849
  Medicare reassignment NPD Authorized official
• Roy Morrell D.C. PLLC

  • Chiropractor
  • Beaumont, TX
  • NPI 1245586858
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1063273589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-832-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-832-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESCHNICK",
        "first_name": "TATUM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATUM",
            "last_name": "AUSTIN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Muhammad Usama Khokhar, M.D.
• Zeyad Medhat Kholeif, MBBCH
• Kids Unlimited Therapy Fun and Fitness Center, P.C.
• Tinsae T Kifle
• Laura Kimball, LPC
• Leigh B Kimball, O.D.
• Lacey Gail Kinard, OTR
• King LTC LLC

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.