Eric Leigh Tessmer, DC

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

4367 Issued in MN

Practice address

11276 210TH W St 109
Lakeville, MN 55044-6011

Phone

(952) 469-3443

Fax

(952) 469-3473

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Interstate Chiropractic, LLC

  • Chiropractor
  • Lakeville, MN
  • NPI 1598912818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1982743241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11276 210TH ST W STE 109",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446011",
            "telephone_number": "952-469-3443",
            "fax_number": "952-469-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 210TH W ST 109",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446011",
            "telephone_number": "952-469-3443",
            "fax_number": "952-469-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "ERIC",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "4367",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MN",
            "license": "4367",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "4367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "056G6IN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Target Bunwal Healthcare
• Hamdi Tebad
• Valeriy Telkov, DC
• Jamie Terning, MASSAGE THERAPIST
• Amber Terril, MT
• Jennifer Tessness
• The Chiropractic Clinic PLLC
• The Hearing Aid Doctor, Inc.
• The Wellness Living Center, LLC
• Gregory Lloyd Thelen Thelen, MD

• Occupational Health Chiropractor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Occupational Health Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.