John Telfer Tweedie III, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2000166831 Issued in MO

Practice address

201 N Main Ave
Bolivar, MO 65613-1519

Phone

(417) 777-4848

Fax

(417) 777-3066

NPI assigned

Jun 8, 2007

Sex

Male

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Tweedie Chiropractic LLC

  • Chiropractor
  • Bolivar, MO
  • NPI 1902944705
  Authorized official Same address or phone

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1366645038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131519",
            "telephone_number": "417-777-4848",
            "fax_number": "417-777-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131519",
            "telephone_number": "417-777-4848",
            "fax_number": "417-777-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDIE",
        "first_name": "JOHN",
        "middle_name": "TELFER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2000166831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Tooley, PHARM D
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• Justine Erin Troske, MSOT, OTR/L
• Kamila Michelle Truitt, RPH, PHARMD
• Tweedie Chiropractic LLC
• Nicole Marie Twenter, LPC
• Joanna Duane Twombly, D.O.
• Martin S. Tyson, DO
• Upon the Rock, Inc.
• Kyla Van Black

• Sports Physician Chiropractor in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.