Tatiana Iwaseczko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

#570-0999 Issued in NH

Practice address

70 Heritage Ave
#15
Portsmouth, NH 03801-5662

Phone

(603) 436-9009

Fax

(603) 436-9069

NPI assigned

Feb 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952445173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HERITAGE AVE",
            "address_2": "#15",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015662",
            "telephone_number": "603-436-9009",
            "fax_number": "603-436-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HERITAGE AVE",
            "address_2": "#15",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015662",
            "telephone_number": "603-436-9009",
            "fax_number": "603-436-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASECZKO",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "#570-0999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30250570",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.