Dennis Paul Tieman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001912A Issued in IN

Practice address

202 S 4TH St
Boonville, IN 47601-1806

Phone

(812) 897-4616

Fax

(812) 897-4640

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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.

• Tieman Chiropractic and Rehabilitation LLC

  • Chiropractor
  • Boonville, IN
  • NPI 1316146558
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2024.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1992848113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 4TH ST",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476011806",
            "telephone_number": "812-897-4616",
            "fax_number": "812-897-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 4TH ST",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476011806",
            "telephone_number": "812-897-4616",
            "fax_number": "812-897-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMAN",
        "first_name": "DENNIS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001912A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000223139",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha L. Sternberg, M.S..CCC-SP
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• Kimberly Tatum, FNP
• Tieman Chiropractic and Rehabilitation LLC
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• David Vaughn, MD
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• James Volz

• All providers in Boonville, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.