Individual provider Active NPI

Timothy John Tersigni, D.C.

  • Chiropractor
  • Fowlerville, MI
National Provider Identifier
1982671012
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008012 Issued in MI
Practice address
746 S Grand St
Fowlerville, MI 48836-8901
Phone
(517) 223-9276
Fax
(517) 223-9278
NPI assigned
Mar 7, 2006
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2301008012 MI
Nutrition Chiropractor 111NN1001X 2301008012 MI
Radiology Chiropractor 111NR0200X 2301008012 MI
Chiropractor 111N00000X 2301008012 MI Primary

Addresses

Primary practice location

746 S Grand St
Fowlerville, MI 48836-8901

Mailing address

PO Box 1126
Fowlerville, MI 48836-1126
Phone (517) 223-9276

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000108 MI Practitioner - Chiropractic 3577572015 Practice locations: Fowlerville, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

746 S Grand Ave
Fowlerville, MI 48836-8901
Phone (517) 223-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008012MIMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center of Fowlerville Neurology CurrentSince Jan 1, 1990 Accepting new patients
Fowlerville Chiropractic Center Chiropractor Past Accepting new patients

Locations

103 W Grand River Ave
Fowlerville, MI 48836
Phone (517) 230-1751

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1982671012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488361126",
            "telephone_number": "517-223-9276",
            "fax_number": "517-223-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 S GRAND ST",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488368901",
            "telephone_number": "517-223-9276",
            "fax_number": "517-223-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERSIGNI",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "2301008012",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301008012",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MI",
            "license": "2301008012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.