Marissa Tadda, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4473-12 Issued in WI

Practice address

N96W18743 County Line Rd Stop E
Menomonee Falls, WI 53051-7100

Phone

(262) 253-6779

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Company - Menomonee Falls LTD

  • Chiropractor
  • Menomonee Falls, WI
  • NPI 1770611808
  Medicare reassignment

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1265024897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N96W18743 COUNTY LINE RD STOP E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517100",
            "telephone_number": "262-253-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N96W18743 COUNTY LINE RD STOP E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517100",
            "telephone_number": "262-253-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDA",
        "first_name": "MARISSA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4473-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Sweetman, APRN, MSN, FNP-C
• Laura Swoboda, DNP, RN, FNP, CWOCN
• Joanne L Sznaider, LCSW
• James Szopinski
• Michael A. Szymanski, D.D.S.
• Barbara Jean Taggart, RD, CD
• Ammar Taha, M.D.
• Jennifer J Taliaferro, DPT
• Christopher John Tamsen, D.D.S.
• Andrew C. Tang, PHARM. D.

• Chiropractor in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.