Individual provider Active NPI

Stephen C Thiesing, D.C.

  • Chiropractor
  • Columbia, TN
National Provider Identifier
1619026614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001529 Issued in TN
Practice address
506 N Garden St
Columbia, TN 38401-3220
Phone
(931) 490-0606
Fax
(931) 490-0634
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001529 TN Primary

Addresses

Primary practice location

506 N Garden St
Columbia, TN 38401-3220

Mailing address

506 N Garden St
Columbia, TN 38401-3220
Phone (931) 490-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000467 TN Practitioner - Chiropractic 9537333703 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

506 N Garden St
Columbia, TN 38401-3220
Phone (931) 490-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1529TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thiesing Family Chiropractic Center Chiropractor CurrentSince Mar 15, 1999 Accepting new patients

Locations

506 N Garden St
Columbia, TN 38401
Phone (931) 490-0606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619026614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013220",
            "telephone_number": "931-490-0606",
            "fax_number": "931-490-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013220",
            "telephone_number": "931-490-0606",
            "fax_number": "931-490-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESING",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.