Active NPI
Tina M McLeod, D.C.
- Chiropractor
- Glendale, WI
National Provider Identifier
1700970266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4017-012
- Practice address
- 5306 N Port Washington Rd
Glendale, WI 53217 - Phone
- (414) 332-0859
- Fax
- (414) 332-3991
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4017-012 | WI | Primary |
Addresses
Primary practice location
5306 N Port Washington Rd
Glendale, WI 53217
Mailing address
5306 N Port Washington Rd
Glendale, WI 53217
Phone (414) 332-0859
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7611702 | Other | WI | AETNA |
| 38952600 | Medicaid | WI | |
| 391555906018 | Other | WI | COMPCAREBLUE & BLUE CROSS |
Other names 1
- Dr. Tina M Caito
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4017-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Company S.C. | Chiropractor | Past | Accepting new patients |
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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700970266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5306 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "414-332-0859",
"fax_number": "414-332-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "414-332-0859",
"fax_number": "414-332-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "TINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4017-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7611702",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38952600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCAREBLUE & BLUE CROSS",
"identifier": "391555906018",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "CAITO",
"middle_name": "M",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, WI
- Rosalind McClain
- Janet Helen McClintock, RN, MSN, LPC, MS
- David F McCoy, PT
- Elizabeth Hahn McDonald, DMD
- Nathan McDonald
- James K McNeely, MD
- Terry Lynn McWilliams, MA/CCC-SLP
- Meadowbrook Counseling of Wisconsin, LLC (Meadowbrook Counseling of Wisconsin)
- Med Alliance S.C.
- Medical Genetics Institute, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.