Active NPI
Glen Robert Tessman, D.C.
- Chiropractor
- Cleburne, TX
National Provider Identifier
1497875611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9660
- Practice address
- 201 N Ridgeway Dr
Cleburne, TX 76033-4114 - Phone
- (817) 641-9700
- Fax
- (817) 641-8190
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9660 | TX | Primary |
Addresses
Primary practice location
201 N Ridgeway Dr
Cleburne, TX 76033-4114
Mailing address
201 N Ridgeway Dr
Cleburne, TX 76033-4114
Phone (817) 641-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00641259 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 N Ridgeway Dr
Cleburne, TX 76033-4114
Phone (817) 641-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Health and Rehabilitation, LLC | Chiropractor | Current | Accepting new patients |
| Glen R Tessman | Past | Accepting new patients |
Locations
306 Granbury St
Ste B
Cleburne, TX 76033
Phone (817) 641-9700
201 N Ridgeway Dr
Cleburne, TX 76033
Phone (817) 641-9700
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Cleburne, TX
- NPI 1841472115
Chiropractor
-
dba Tessman family Chiropractic
- Rehabilitation Chiropractor
- Cleburne, TX
- NPI 1982887261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1497875611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334114",
"telephone_number": "817-641-9700",
"fax_number": "817-641-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334114",
"telephone_number": "817-641-9700",
"fax_number": "817-641-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSMAN",
"first_name": "GLEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00641259",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
- Steve Glenn Surratt, M.D.
- Tara Mitchell, LCSW
- Carolyn Christi Taylor, LCDC, LMSW
- Jane Marie Teders
- Jason W Tennison, DMD, MS
- Texans for Chiropractic Wellness
- Texas - Waverley Group, Inc. (Cleburne Rehabilitation and Health Care Center)
- Texas DME Inc (Mobility Dynamics)
- Texas Gastroenterology PLLC
- Texas Health Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.