Tenniswood Family Chiropractic S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TENNISWOOD FAMILY CHIROPRACTIC S.C.

Practice address

1537 Heritage Blvd
1537 Heritage Blvd
West Salem, WI 54669-9404

Phone

(608) 786-3670

Fax

(608) 786-3672

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen S Tenniswood, DC

Title

Owner

Phone

(608) 786-3670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1629251160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "address_2": "1537 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546690852",
            "telephone_number": "608-786-3670",
            "fax_number": "608-786-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 HERITAGE BLVD",
            "address_2": "1537 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699404",
            "telephone_number": "608-786-3670",
            "fax_number": "608-786-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNISWOOD FAMILY CHIROPRACTIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "TENNISWOOD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-786-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Salem, WI
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• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.