Organization Active NPI

Glen R Tessman

  • Rehabilitation Chiropractor
  • Cleburne, TX
National Provider Identifier
1982887261
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9660 Issued in TX
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

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Glen R Tessman, DCNPI 1497875611
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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00073579OtherTXRR MEDICARE
606678OtherTXBCBS
660416OtherTXACN
973406OtherTXGALAXY HEALTH

Other names 1

  • Tessman family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.