Active NPI
Kimberly K Tieszen, D.C.
- Chiropractor
- Trinidad, CO
National Provider Identifier
1871570457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0008064
- Practice address
- 1122 E First St
Trinidad, CO 81082-3102 - Phone
- (719) 859-1184
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008064 | CO | Primary |
Addresses
Primary practice location
1122 E First St
Trinidad, CO 81082-3102
Mailing address
1122 E First St
Trinidad, CO 81082-3102
Phone (719) 859-1184
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C738KA | Other | MN | MINNESOTA BCBS |
| TI374867 | Other | PA | HIGHMARK BCBS |
| 82571 | Other | PA | GEISINGER HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1122 E 1St St
Trinidad, CO 81082-3102
Phone (719) 859-1184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008064 | CO | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Trinidad, CO
- NPI 1497887673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1871570457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E FIRST ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810823102",
"telephone_number": "719-859-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E FIRST ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810823102",
"telephone_number": "719-859-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIESZEN",
"first_name": "KIMBERLY",
"middle_name": "K",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BCBS",
"identifier": "5C738KA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "TI374867",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "82571",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.