Individual provider Active NPI

Tiffany Dot Thiesse, D.C.

  • Chiropractor
  • Mitchell, SD
National Provider Identifier
1386786333
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1108 Issued in SD
Practice address
1224 N Sanborn Blvd
Mitchell, SD 57301-1347
Phone
(605) 990-2225
Fax
(605) 990-2235
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1108 SD Primary

Addresses

Primary practice location

1224 N Sanborn Blvd
Mitchell, SD 57301-1347

Mailing address

605 S Iowa St
Mitchell, SD 57301-3836
Phone (605) 990-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000433 SD Practitioner - Chiropractic 3476652371 Practice locations: Mitchell, SD

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1224 N Sanborn
Mitchell, SD 57301-1347
Phone (605) 990-2225

1224 N Sanborn Blvd
Mitchell, SD 57301-1347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1386786333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S IOWA ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013836",
            "telephone_number": "605-990-2225",
            "fax_number": "605-990-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011347",
            "telephone_number": "605-990-2225",
            "fax_number": "605-990-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESSE",
        "first_name": "TIFFANY",
        "middle_name": "DOT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.