Individual provider Active NPI

Terese Marie Tomanek, D.C.

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1104848969
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1771 Issued in MN
Practice address
2900 Piedmont Ave
Duluth, MN 55811-2915
Phone
(218) 727-8228
Fax
(218) 727-7771
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1771 MN Primary

Addresses

Primary practice location

2900 Piedmont Ave
Duluth, MN 55811-2915

Mailing address

2900 Piedmont Ave
Duluth, MN 55811-2915
Phone (218) 727-8228

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
1771MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Services of NE MN Inc. PastSince Sep 17, 2023 Accepting new patients
Firstsolutions Past Accepting new patients

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1104848969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112915",
            "telephone_number": "218-727-8228",
            "fax_number": "218-727-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112915",
            "telephone_number": "218-727-8228",
            "fax_number": "218-727-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMANEK",
        "first_name": "TERESE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.