Individual provider Active NPI

Jac R Tiechner, DPM

  • Podiatrist
  • Wenatchee, WA
National Provider Identifier
1518908573
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000207 Issued in WA
Practice address
616 N Chelan Ave
Wenatchee, WA 98801-2025
Phone
(509) 662-2970
Fax
(509) 665-9808
NPI assigned
Jun 9, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000207 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000207 WA
Radiology Podiatrist 213ER0200X PO00000207 WA
Foot Surgery Podiatrist 213ES0131X PO00000207 WA

Addresses

Primary practice location

616 N Chelan Ave
Wenatchee, WA 98801-2025

Mailing address

616 N Chelan Ave
Wenatchee, WA 98801-2025
Phone (509) 662-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000207WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of Wenatchee, P.S. Podiatrist Current Accepting new patients

Locations

616 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 662-2970

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1518908573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012025",
            "telephone_number": "509-662-2970",
            "fax_number": "509-665-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012025",
            "telephone_number": "509-662-2970",
            "fax_number": "509-665-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIECHNER",
        "first_name": "JAC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000207",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000207",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "WA",
            "license": "PO00000207",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.