Tieri Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5351 Issued in MN

Legal business name

TIERI CHIROPRACTIC, LLC

Doing business as

Total Spine Health and Injury Center

Practice address

13324 Bass Lake Rd
Maple Grove, MN 55311-4540

Phone

(763) 568-7869

Fax

(763) 568-7872

NPI assigned

Oct 22, 2010

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Edwin Tieri, D.C.NPI 1902116411

Title

Owner

Phone

(763) 913-9410

Specialties & licenses 1

Addresses

Other names 1

• Total Spine Health and Injury Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Brent Edwin Tieri, D.C.

  • Chiropractor
  • Maple Grove, MN
  • NPI 1902116411
  Medicare reassignment NPD Authorized official
• Tory Malcolm Robson, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1851488845
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1700186921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 BASS LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114540",
            "telephone_number": "763-568-7869",
            "fax_number": "763-568-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13324 BASS LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114540",
            "telephone_number": "763-568-7869",
            "fax_number": "763-568-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERI CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "TIERI",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-913-9410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Spine Health and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulette Reveiz Thompson
• Peter Thorne
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #762)
• Carolynn Sarah Tiede, PT
• Alyssa Catherine Tiedens, MS, ATC
• Brent Edwin Tieri, D.C.
• Kimberly S Tiesma
• Sarah Kathleen Tillman, MD
• Katherine Marie Timcho, WHNP
• Timothy J Maher D P M P a

• Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.