Jerome E Tyjeski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2819 Issued in WI

Practice address

119 E Mackie St
Beaver Dam, WI 53916-2031

Phone

(920) 885-3020

Fax

(920) 885-3024

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Jerome Tyjeski, D.C.

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1336685643
  Medicare reassignment
• Stephanie Kaye Tyjeski, D.C.

  • Chiropractor
  • Watertown, WI
  • NPI 1639615941
  Medicare reassignment

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.

• Tyjeski Family Chiropractic

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1396418083
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1104993658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MACKIE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162031",
            "telephone_number": "920-885-3020",
            "fax_number": "920-885-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MACKIE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162031",
            "telephone_number": "920-885-3020",
            "fax_number": "920-885-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYJESKI",
        "first_name": "JEROME",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38861200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-County Hearing
• Tri-County Hearing Aid Services, Inc
• Tricounty Homecare Inc
• Thomas J. Triller, DDS
• Tyjeski Family Chiropractic
• Joshua Jerome Tyjeski, D.C.
• University of Wisconsin Medical Foundation Inc
• Unmasked Expressive Therapies
• David Charles Utrie, D.D.S.
• Angela Kay Van Ooyen, MS, CCC-SLP

• Chiropractor in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.