Individual provider Active NPI

Tammy Marie Tickel, D.C.

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1992972822
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3951 Issued in MN
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

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080812000372 MN Practitioner - Chiropractic 1254420953 Reassigns benefits to 1 organization

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
Tickel Chiropractic PCGroup PAC ID 5991894693, 2 clinicians

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

LicenseStateTypeSpecialty
686NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tickel Chiropractic, P.C. Chiropractor CurrentSince Oct 1, 2007 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.

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.

Verify at the official NPI Registry.