Organization Active NPI

Tyjeski Family Chiropractic

  • Chiropractor
  • Beaver Dam, WI
National Provider Identifier
1396418083
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TYJESKI FAMILY CHIROPRACTIC
Practice address
119 E Mackie St
Beaver Dam, WI 53916-2031
Phone
(920) 885-3020
NPI assigned
Jul 28, 2021
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TYJESKI FAMILY CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Joanne K Tyjeski
Title
Office Manager
Phone
(920) 885-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

119 E Mackie St
Beaver Dam, WI 53916-2031

Mailing address

119 E Mackie St
Beaver Dam, WI 53916-2031
Phone (920) 885-3020

Other practice location 1

303 S 1st St
Watertown, WI 53094-4405
Phone (920) 261-0855

National Provider Directory

National Provider Directory
Part of
Tyjeski Family Chiropractic

Locations

119 E Mackie St
Beaver Dam, WI 53916
Phone (920) 885-3020

303 S 1st St
Watertown, WI 53094
Phone (920) 261-0855

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1396418083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MACKIE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162031",
            "telephone_number": "920-885-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MACKIE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162031",
            "telephone_number": "920-885-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530944405",
            "country_code": "US",
            "telephone_number": "920-261-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TYJESKI FAMILY CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TYJESKI FAMILY CHIROPRACTIC",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "TYJESKI",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-885-3020"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.