Individual provider Active NPI

Tifany A Burckhard-Teets, DC

  • Chiropractor
  • Minot, ND
National Provider Identifier
1982762407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
690 Issued in ND
Practice address
1825 16TH St SW
Minot, ND 58701-6428
Phone
(701) 838-5000
Fax
(701) 852-1184
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

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 690 ND Primary

Addresses

Primary practice location

1825 16TH St SW
Minot, ND 58701-6428

Mailing address

1825 16TH St SW
Minot, ND 58701-6428
Phone (701) 838-5000

Other identifiers 1

IdentifierTypeStateIssuer
19970OtherNDBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000254 ND Practitioner - Chiropractic 9830230911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 16TH St SW
Minot, ND 58701-6428
Phone (701) 838-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
690NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tifany a. Burckhard-Teets, DC-P.C. Chiropractor CurrentSince Jan 15, 2001 Accepting new patients

Locations

1825 16th St SW
Minot, ND 58701
Phone (701) 838-1800

Organizations & group practices 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982762407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016428",
            "telephone_number": "701-838-5000",
            "fax_number": "701-852-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016428",
            "telephone_number": "701-838-5000",
            "fax_number": "701-852-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCKHARD-TEETS",
        "first_name": "TIFANY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19970",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

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.