Active NPI
Glen R Tessman
- Rehabilitation Chiropractor
- Cleburne, TX
National Provider Identifier
1982887261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 9660
- Legal business name
- GLEN R TESSMAN
- Practice address
- 306 Granbury St
Suite B
Cleburne, TX 76033-4853 - Phone
- (817) 641-9700
- Fax
- (817) 641-8190
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glen R Tessman, DC
- Title
- Owner/Provider
- Phone
- (817) 641-9700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 9660 | TX | Primary |
Addresses
Primary practice location
306 Granbury St
Suite B
Cleburne, TX 76033-4853
Mailing address
306 Granbury St
Suite B
Cleburne, TX 76033-4853
Phone (817) 641-9700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00073579 | Other | TX | RR MEDICARE |
| 606678 | Other | TX | BCBS |
| 660416 | Other | TX | ACN |
| 973406 | Other | TX | GALAXY HEALTH |
Other names 1
- Tessman family Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cleburne, TX
- NPI 1497875611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1982887261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 GRANBURY ST",
"address_2": "SUITE B",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334853",
"telephone_number": "817-641-9700",
"fax_number": "817-641-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 GRANBURY ST",
"address_2": "SUITE B",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334853",
"telephone_number": "817-641-9700",
"fax_number": "817-641-8190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN R TESSMAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "TESSMAN",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "817-641-9700",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "9660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00073579",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "606678",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "660416",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALAXY HEALTH",
"identifier": "973406",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tessman family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.