Individual provider Active NPI

Robert Russell Tinnen, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1285866210
Registry record updated Aug 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4517-012 Issued in WI
Practice address
1234 Williamson St
Madison, WI 53703-3755
Phone
(608) 441-1181
NPI assigned
Aug 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4517-012 WI Primary

Addresses

Primary practice location

1234 Williamson St
Madison, WI 53703-3755

Mailing address

1234 Williamson St
Madison, WI 53703-3755
Phone (608) 441-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000136 WI Practitioner - Chiropractic 7113053125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tinnen Family Chiropractic, S.C.Group PAC ID 2860528874, 2 clinicians

Practice addresses (Care Compare)

1234 Williamson St
Madison, WI 53703-3755
Phone (608) 441-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4517-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tinnen Family Chiropractic, S.C. Chiropractor CurrentSince Jan 20, 2010 Accepting new patients
Hartness Wellness LLC Chiropractor CurrentSince Jan 26, 2025 Accepting new patients

Locations

1234 Williamson St
Madison, WI 53703
Phone (608) 395-7298

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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249689600000",
    "number": "1285866210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEN",
        "first_name": "ROBERT",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4517-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; 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.