Sarah Patrice Tietsort, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008316 Issued in MI

Practice address

2549 Jolly Rd
Suite 360
Okemos, MI 48864-3678

Phone

(517) 347-2222

Fax

(517) 347-2233

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sarah Patrice Dingman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1881657575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 JOLLY RD",
            "address_2": "SUITE 360",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643678",
            "telephone_number": "517-347-2222",
            "fax_number": "517-347-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 JOLLY RD",
            "address_2": "SUITE 360",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643678",
            "telephone_number": "517-347-2222",
            "fax_number": "517-347-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETSORT",
        "first_name": "SARAH",
        "middle_name": "PATRICE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MICHIGAN",
            "identifier": "44-00208",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DINGMAN",
            "middle_name": "PATRICE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.