Active NPI
Tammy Marie Tickel, D.C.
- Chiropractor
- Moorhead, MN
National Provider Identifier
1992972822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3951
- Practice address
- 819 30TH Ave S
Suite 100
Moorhead, MN 56560-5000 - Phone
- (218) 284-3030
- Fax
- (218) 284-3035
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3951 | MN | Primary |
Addresses
Primary practice location
819 30TH Ave S
Suite 100
Moorhead, MN 56560-5000
Mailing address
819 30TH Ave S
Suite 100
Moorhead, MN 56560-5000
Phone (218) 284-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
819 30TH Ave S
Moorhead, MN 56560-5000
Phone (218) 284-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 686 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tickel Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| John Paul Musser, Inc. | Chiropractor | Past | Accepting new patients |
| Healing Arts Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Locations
819 30th Ave S
Moorhead, MN 56560
Phone (218) 284-3030
819 30th Ave S
Ste 100
Moorhead, MN 56560
Phone (218) 284-3030
Organizations & group practices 3
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.
-
- Chiropractor
- Moorhead, MN
- NPI 1811184120
-
- Chiropractor
- West Fargo, ND
- NPI 1790457521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1992972822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 30TH AVE S",
"address_2": "SUITE 100",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605000",
"telephone_number": "218-284-3030",
"fax_number": "218-284-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 30TH AVE S",
"address_2": "SUITE 100",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605000",
"telephone_number": "218-284-3030",
"fax_number": "218-284-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKEL",
"first_name": "TAMMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.