Individual provider Active NPI

Jody Tenjeras, DC

  • Chiropractor
  • White Lake, MI
National Provider Identifier
1346231370
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007118 Issued in MI
Practice address
10635 Highland Road
White Lake, MI 48386-3169
Phone
(248) 698-8677
Fax
(248) 698-8645
NPI assigned
Oct 31, 2005
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007118 MI Primary

Addresses

Primary practice location

10635 Highland Road
White Lake, MI 48386-3169

Mailing address

10635 Highland Rd
White Lake, MI 48386-2147
Phone (248) 698-8677

Other identifiers 1

IdentifierTypeStateIssuer
950F354030OtherBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000552 MI Practitioner - Chiropractic 8426140195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10635 Highland Rd
White Lake, MI 48386-2147
Phone (248) 698-8677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007118MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Tenjeras, DC, PC Chiropractor CurrentSince Apr 1, 1995 Accepting new patients

Locations

10635 Highland Rd
White Lake, MI 48386
Phone (248) 698-8677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1346231370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862147",
            "telephone_number": "248-698-8677",
            "fax_number": "348-698-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 HIGHLAND ROAD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483863169",
            "telephone_number": "248-698-8677",
            "fax_number": "248-698-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENJERAS",
        "first_name": "JODY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F354030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.