Individual provider Active NPI

Tina M Byrnes-Pierce, D.C.

  • Chiropractor
  • Janesville, WI
National Provider Identifier
1952489239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3934-012 Issued in WI
Practice address
1609 Refset Dr
Janesville, WI 53545-0424
Phone
(608) 531-1234
Fax
(608) 758-8979
NPI assigned
Nov 2, 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 3934-012 WI Primary

Addresses

Primary practice location

1609 Refset Dr
Janesville, WI 53545-0424

Mailing address

1609 Refset Dr
Janesville, WI 53545-0424
Phone (608) 531-1234

Other identifiers 1

IdentifierTypeStateIssuer
38955700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720001124 WI Practitioner - Chiropractic 8224018445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damrow Chiropractic Office SCGroup PAC ID 4284685041, 3 clinicians

Practice addresses (Care Compare)

3628 Ridge Dr
Janesville, WI 53548-5820
Phone (608) 754-3696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3934-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Damrow Chiropractic Office, SC Chiropractor CurrentSince Oct 20, 2008 Accepting new patients
Aspire Counseling, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

3628 Ridge Dr
Janesville, WI 53548
Phone (608) 754-3696

3628 Ridge Dr
Ste 1
Janesville, WI 53548

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952489239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 REFSET DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450424",
            "telephone_number": "608-531-1234",
            "fax_number": "608-758-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 REFSET DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450424",
            "telephone_number": "608-531-1234",
            "fax_number": "608-758-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES-PIERCE",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3934-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38955700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, 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.
  • 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.

Verify at the official NPI Registry.