Active NPI
Tieman Chiropractic and Rehabilitation LLC
- Chiropractor
- Boonville, IN
National Provider Identifier
1316146558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001912A
- Legal business name
- TIEMAN CHIROPRACTIC AND REHABILITATION LLC
- Practice address
- 202 S 4TH St
Boonville, IN 47601-1806 - Phone
- (812) 897-4616
- NPI assigned
- Jul 17, 2007
- Last updated
- Oct 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis P Tieman, D.C.
- Title
- Chiropractor
- Phone
- (812) 897-4616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001912A | IN | Primary |
Addresses
Primary practice location
202 S 4TH St
Boonville, IN 47601-1806
Mailing address
202 S 4TH St
Boonville, IN 47601-1806
Phone (812) 897-4616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 S 4th St
Boonville, IN 47601
Phone (812) 660-2270
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Boonville, IN
- NPI 1992848113
-
- Physical Therapist
- Evansville, IN
- NPI 1881736874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1316146558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S 4TH ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011806",
"telephone_number": "812-897-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 4TH ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011806",
"telephone_number": "812-897-4616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIEMAN CHIROPRACTIC AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "TIEMAN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "812-897-4616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001912A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.