Individual provider Active NPI

Michael Gregory Tenn, DC CSCS

  • Chiropractor
  • Pelham, AL
National Provider Identifier
1093740904
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033608 Issued in WA
Practice address
377 Huntley Parkway
Pelham, AL 35124
Phone
(205) 621-5555
Fax
(205) 621-3500
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033608 WA Primary
Chiropractor 111N00000X 2235 AL

Addresses

Primary practice location

377 Huntley Parkway
Pelham, AL 35124

Mailing address

377 Huntley Parkway
Pelham, AL 35124
Phone (205) 621-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033608WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Regenerative Medicine Past Accepting new patients
Kaufman Chiropractic Clinic Inc Chiropractor PastSince Feb 18, 2013 Accepting new patients
Serenity Chiropractic, PLLC Chiropractor Past Accepting new patients
Crossroads Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231027200000",
    "number": "1093740904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 HUNTLEY PARKWAY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-621-5555",
            "fax_number": "205-621-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 HUNTLEY PARKWAY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-621-5555",
            "fax_number": "205-621-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENN",
        "first_name": "MICHAEL",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DC CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033608",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.