Thomas N Tessendorf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1564 Issued in ID

Practice address

1401 W Biztown Loop
Hayden, ID 83835-5113

Phone

(208) 762-3660

Fax

(208) 762-3600

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tessendorf Family Chiropractic LLCGroup PAC ID 4789902883, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tessendorf Family Chiropractic, LLC

  • Chiropractor
  • Hayden, ID
  • NPI 1548681521
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1780685255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W BIZTOWN LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355113",
            "telephone_number": "208-762-3660",
            "fax_number": "208-762-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W BIZTOWN LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355113",
            "telephone_number": "208-762-3660",
            "fax_number": "208-762-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSENDORF",
        "first_name": "THOMAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2047",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000075015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Tatalovich, DDS
• Constance Joyce Taylor, CONNIE TAYLOR
• Tessendorf Family Chiropractic, LLC
• Joseph Neal Tessendorf, D.C.
• Kathryn Tessendorf, CMT
• The Local Lab, LLC
• Laurie K Thomas, LMT
• Taryne Thomas, PT, DPT
• Barbara Lynn Thompson, LMT
• Thrifty Payless Inc

• Chiropractor in Hayden, ID
• Providers in Hayden, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.