Individual provider Active NPI

Lisa M Tenold, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1831207778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2095 Issued in WI
Practice address
3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757
Phone
(715) 833-8777
Fax
(715) 833-8774
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2095 WI Primary

Addresses

Primary practice location

3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757

Mailing address

3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757
Phone (715) 833-8777

Other identifiers 1

IdentifierTypeStateIssuer
38849800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000299 WI Practitioner - Chiropractic 6406034941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2095WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenold Chiropractic LLC Chiropractor CurrentSince Oct 1, 1990 Accepting new patients
Wisconsin Center for Integrative Health, SC Chiropractor CurrentSince Oct 1, 1990 Accepting new patients

Locations

3814 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (715) 833-8777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831207778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017757",
            "telephone_number": "715-833-8777",
            "fax_number": "715-833-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017757",
            "telephone_number": "715-833-8777",
            "fax_number": "715-833-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENOLD",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38849800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.