Organization Active NPI

Tinnen Family Chiropractic, S.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1770817934
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4516-012 Issued in WI
Legal business name
TINNEN FAMILY CHIROPRACTIC, S.C.
Practice address
1234 Williamson St
Madison, WI 53703-3755
Phone
(608) 441-1181
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Dr. Deverie Tinnen, D.C.NPI 1497906796
Title
Owner/President
Phone
(608) 441-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4516-012 WI Primary

Addresses

Primary practice location

1234 Williamson St
Madison, WI 53703-3755

Mailing address

1234 Williamson St
Madison, WI 53703-3755
Phone (608) 441-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000101 WI Part B Supplier - Clinic/Group Practice 2860528874 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

1234 Williamson St
Madison, WI 53703
Phone (608) 395-7298

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1770817934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033755",
            "telephone_number": "608-441-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINNEN FAMILY CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "TINNEN",
        "authorized_official_first_name": "DEVERIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "608-441-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4516-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.