Travis J Tessendorf D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1197 Issued in NE

Legal business name

TRAVIS J TESSENDORF D.C. P.C.

Doing business as

Tessendorf Chiropractic

Practice address

2360 26TH Ave
Columbus, NE 68601-2527

Phone

(402) 564-0193

Fax

(402) 564-0179

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Travis J Tessendorf, D.C.NPI 1427040724

Title

President

Phone

(402) 564-0193

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tessendorf Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Tax ID family

Tessendorf Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Travis J. Tessendorf DC.PC

  • Chiropractor
  • Columbus, NE
  • NPI 1033324876
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis J Tessendorf, D.C.

  • Chiropractor
  • Columbus, NE
  • NPI 1427040724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1740316793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686020727",
            "telephone_number": "402-564-0193",
            "fax_number": "402-564-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 26TH AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012527",
            "telephone_number": "402-564-0193",
            "fax_number": "402-564-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS J TESSENDORF D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "TESSENDORF",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-564-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350049151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tessendorf Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Columbus, NE
• Providers in Columbus, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.