Tiferet Medical Management LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13355 Issued in TX

Legal business name

TIFERET MEDICAL MANAGEMENT LLC

Practice address

1400 Beckett St
Austin, TX 78757-8302

Phone

(512) 264-4801

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brian Russell Gore, DC

Title

Owner

Phone

(512) 264-4801

Specialties & licenses 1

Addresses

Other names 1

• Lakeline Chiropractic Doing business as

Locations

Practitioners 1

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

• Jonathan Dolce Dollar, L.AC.

  • Acupuncturist
  • Austin, TX
  • NPI 1558670554
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1780125500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 S. LAKELINE BLVD",
            "address_2": "700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-264-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BECKETT ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578302",
            "telephone_number": "512-264-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFERET MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-264-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Michelle Tiernan, RN, IBCLC
• Michaela Rose Tierney, OTR/L
• Ryan Menzies Tierney, M.D.
• Tierra Somos PLLC
• Peggy Kruger Tietz, PH.D.
• Tiger Lily Acupuncture
• Tiger Tactical Hearing, LLC
• Hector Tijerina
• Jose Antonio Tijerina, L.S.A.
• Heather Kirsten Tilbury, LCSW-S; RPT-S

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.