Organization Active NPI

Jody Tenjeras, DC, PC

  • Chiropractor
  • White Lake, MI
National Provider Identifier
1992906531
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007118 Issued in MI
Legal business name
JODY TENJERAS, DC, PC
Practice address
10531 Highland Road
Suite 3
White Lake, MI 48386-3169
Phone
(248) 698-8677
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Jody Tenjeras, D.C., P.C.NPI 1346231370
Title
President
Phone
(248) 698-8677

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007118 MI Primary

Addresses

Primary practice location

10531 Highland Road
Suite 3
White Lake, MI 48386-3169

Mailing address

10531 Highland Rd.
Suite 3
White Lake, MI 48386-3169
Phone (248) 698-8677

Other names 1

  • Lakes Area Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000081 MI Part B Supplier - Clinic/Group Practice 1355433020 Receives reassigned benefits from 1 practitioner
Practice locations: White Lake, MI

National Provider Directory

National Provider Directory

Locations

10531 Highland Rd
Ste 3
White Lake, MI 48386
Phone (248) 698-8677

10635 Highland Rd
White Lake, MI 48386
Phone (248) 698-8677

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1992906531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 HIGHLAND RD.",
            "address_2": "SUITE 3",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483863169",
            "telephone_number": "248-698-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 HIGHLAND ROAD",
            "address_2": "SUITE 3",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483863169",
            "telephone_number": "248-698-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY TENJERAS, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "TENJERAS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-698-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Area Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.