Mick L. Tiegs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1056 Issued in ID

Practice address

9455 35TH Ave SW
Ste E
Seattle, WA 98126-3898

Phone

(206) 932-8320

Fax

(206) 932-6941

NPI assigned

Jun 16, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Mick L. Tiegs, Inc., PSGroup PAC ID 4082797766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Mick L. Tiegs, Inc., PS

  • Health Service Clinic/Center
  • Boise, ID
  • NPI 1689709735

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• 35TH Avenue Chiropractic PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1457490542
  NPD (past)
• Sallas Chiropractic LLC

  • Chiropractor
  • Seattle, WA
  • NPI 1174376602
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1497750350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N 36TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035207",
            "telephone_number": "208-331-3100",
            "fax_number": "208-344-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 35TH AVE SW",
            "address_2": "STE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263898",
            "telephone_number": "206-932-8320",
            "fax_number": "206-932-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEGS",
        "first_name": "MICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "109367",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "TI5132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie C Tidholm, SUDPT
• John K. Tidwell, DDS
• Carol B Tiebout, LMP
• Angela Tiede, ARNP, RN
• Joel S Tieder
• Michael C. Tielborg
• Shelly Tiemeyer
• Teneille A Tierce
• Anne Marie Tiernan, OTR/L
• Myrene Tierney

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.