Paul William Thielen, BS DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

703 Issued in SD

Practice address

1920 South Dakota Hwy 10
Thielen Chiropractic Clinic
Sisseton, SD 57262-2512

Phone

(605) 698-3522

Fax

(605) 698-4465

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leah Meyer Thielen, DC

  • Chiropractor
  • Sisseton, SD
  • NPI 1164595138

  SD

  Medicare reassignment

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2012.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1720190747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "address_2": "THIELEN CHIROPRACTIC CLINIC",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "BS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "390728700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602742",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0003416",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3C880TH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE MANAGEMENT",
            "identifier": "0823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "410131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12612",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH",
            "identifier": "23433",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Studzinski, NP
• Jennifer Rose Swiney, MD
• Tandem Healthcare Inc.
• Tekakwitha Nursing Center Inc
• Leah Meyer Thielen, DC
• Mary Jo Thoennes, RPH
• Nathan Tiedeman, DNP, FNP, RN
• Sherryl J. Tomboulian, M.D., P.H.D
• US Dept of Health & Human Services
• Jodie Webb, FNP-BC

• All providers in Sisseton, SD
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.