Individual provider Active NPI

Deverie Dawn Tinnen, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1497906796
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4516-012 Issued in WI
Practice address
1234 Williamson St
Madison, WI 53703-3755
Phone
(608) 441-1181
NPI assigned
Oct 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5053 MN
Chiropractor 111N00000X 4516-012 WI Primary

Addresses

Primary practice location

1234 Williamson St
Madison, WI 53703-3755

Mailing address

1234 Williamson St
Madison, WI 53703-3755
Phone (608) 441-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000127 WI Practitioner - Chiropractic 6204962210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tinnen Family Chiropractic, S.C.Group PAC ID 2860528874, 2 clinicians

Practice addresses (Care Compare)

1234 Williamson St
Madison, WI 53703-3755
Phone (608) 395-7298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5053MNMDMental Health Counselor
4516-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartness Wellness LLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients
Tinnen Family Chiropractic, S.C. Chiropractor CurrentSince Jan 20, 2010 Accepting new patients

Locations

1234 Williamson St
Madison, WI 53703
Phone (608) 395-7298

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.

NPI Registry JSON

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1497906796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEN",
        "first_name": "DEVERIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-05",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5053",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4516-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.