Individual provider Active NPI

Tiia Jaagus Furniss, D.C.

  • Chiropractor
  • Kennett Square, PA
National Provider Identifier
1578764163
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009877 Issued in PA
Practice address
400 Old Forge LN
Ste 402
Kennett Square, PA 19348-1914
Phone
(484) 888-3450
Fax
(484) 667-2002
NPI assigned
May 30, 2007
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009877 PA Primary

Addresses

Primary practice location

400 Old Forge LN
Ste 402
Kennett Square, PA 19348-1914

Mailing address

400 Old Forge LN
Ste 402
Kennett Square, PA 19348-1914
Phone (484) 888-3450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000746 PA Practitioner - Chiropractic 2961555677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Old Forge LN
Suite 402
Kennett Square, PA 19348-1918
Phone (484) 888-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009877PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood Family Chiropractic, P.C. Chiropractor CurrentSince Jul 1, 2015 Accepting new patients
Healthy Choices 4 Life LLC Chiropractor PastSince Jan 27, 2018 Accepting new patients

Locations

400 Old Forge Ln
Ste 402
Kennett Square, PA 19348
Phone (484) 888-3450

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, 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1578764163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD FORGE LN",
            "address_2": "STE 402",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481914",
            "telephone_number": "484-888-3450",
            "fax_number": "484-667-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD FORGE LN",
            "address_2": "STE 402",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481914",
            "telephone_number": "484-888-3450",
            "fax_number": "484-667-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNISS",
        "first_name": "TIIA",
        "middle_name": "JAAGUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.