Stephen Scott Tenniswood, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010392 Issued in MI

Practice address

4010 Page Ave # 104
Michigan Center, MI 49254

Phone

(517) 764-5305

Fax

(517) 647-5417

NPI assigned

Dec 27, 2006

Last updated

Sep 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tenniswood Chiropractic LLC

  • Chiropractor
  • Michigan Center, MI
  • NPI 1801378971
  Medicare reassignment NPD
• Jason M Ellis DC PLLC

  • Nutrition Chiropractor
  • Commerce Township, MI
  • NPI 1750564910
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1609931948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVE # 104",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541026",
            "telephone_number": "517-764-5305",
            "fax_number": "517-647-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVE # 104",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "49254",
            "telephone_number": "517-764-5305",
            "fax_number": "517-647-5417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2186 Commons Pkwy",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643986",
            "country_code": "US",
            "telephone_number": "517-347-2222",
            "fax_number": "517-347-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNISWOOD",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Leann Siefert, RN
• Mary Lou Sommerfield
• Stephanie Gardner-Wright PLLC
• Robert Gerald Szymczak Jr., LLMSW
• Tenniswood Chiropractic LLC
• Kevin R Timm, DDS
• W. a. Foote Memorial Hospital, Inc (Henry Ford Allegiance Health)
• W.a. Foote Memorial Hospital, Inc (Henry Ford Allegiance Health)
• Addie Weaver, PH.D.
• Dawn E Wesenberg, PA

• Chiropractor in Michigan Center, MI
• Providers in Michigan Center, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.