Tenniswood Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010392 Issued in MI

Legal business name

TENNISWOOD CHIROPRACTIC LLC

Practice address

4010 Page Ave Ste 104
Michigan Center, MI 49254-1026

Phone

(151) 776-4530

Fax

(517) 764-5417

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Gail Webb

Title

Office Manager

Phone

(517) 764-5305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Stephen Scott Tenniswood, DC

  • Chiropractor
  • Michigan Center, MI
  • NPI 1609931948
  Medicare reassignment NPD

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1801378971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVE STE 104",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541026",
            "telephone_number": "151-776-4530",
            "fax_number": "517-764-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 PAGE AVE STE 104",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541026",
            "telephone_number": "151-776-4530",
            "fax_number": "517-764-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNISWOOD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-764-5305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubina Shaikh
• Jill Leann Siefert, RN
• Mary Lou Sommerfield
• Stephanie Gardner-Wright PLLC
• Robert Gerald Szymczak Jr., LLMSW
• Stephen Scott Tenniswood, DC
• Kevin R Timm, DDS
• W. a. Foote Memorial Hospital, Inc
• W.a. Foote Memorial Hospital, Inc
• Addie Weaver, PH.D.

• Chiropractor in Michigan Center, MI
• Providers in Michigan Center, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.