DR. CHAD LANE TIESZEN (NPI# 1669440434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669440434 |
Entity Type | Individual |
Full Name | DR. CHAD LANE TIESZEN |
Credential | DC |
Practice Address |
128 N Dakota St Canton SD 57013 |
Mailing Address |
Po Box 224 Canton SD 57013 |
Practice Telephone | 6059875577 |
Practice Fax Number | 6057642020 |
Mailing Telephone | 6059875577 |
Mailing Fax Number | 6057642020 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2012-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 912 | SD | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0519793 | 05 | |
SD | 7600460 | 05 |
Street Address |
128 N DAKOTA ST |
City | CANTON |
State | SD |
Zip Code | 57013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730206806 | Tieszen Chiropractic Clinic, P.C. | Chiropractor | 128 N Dakota St, Canton, SD 57013-1832 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275687741 | Melissa Brandner | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
1699841064 | Canton School District | Local Education Agency (LEA) | 800 N Main, Canton, SD 57013 | 2006-11-28 |
1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
1245780717 | Chanesse Schaefer | Physician Assistant | 400 N Hiawatha Dr, Canton, SD 57013 | 2016-10-09 |
1497955769 | Amy M Olderbak | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013 | 2007-07-24 |
1245384718 | Gordon Schulte | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
1134273600 | Dr. Gordon D Schulte PC | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
1578544482 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1022 N Dakota St, Canton, SD 57013-1004 | 2005-11-08 |
1093294787 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 1022 N Dakota St, Canton, SD 57013-1004 | 2018-08-13 |
1275673816 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1022 N Dakota St, Canton, SD 57013-1004 | 2007-02-06 |
Find all providers in zip 57013 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
1881220762 | Gia Noelle Candelieri-marcari | Chiropractor | 8016 Cumming Hwy Ste 304, Canton, GA 30115-9350 | 2020-03-23 |
1639700255 | Kalli Ross Chiropractor LLC | Chiropractor | 4612 Tuscarawas St W, Canton, OH 44708-5339 | 2020-02-02 |
1154961514 | Michigan Complete Chiropractic & Rehab., Plc | Chiropractor | 5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766 | 2020-01-13 |
1659917870 | Kaitlin Franklin | Chiropractor | 29957 State Highway 64 Ste 101, Canton, TX 75103-3413 | 2019-11-22 |
1578036307 | Jessie L Potter | Chiropractor | 6231 N Canton Center Rd Ste 109, Canton, MI 48187-2692 | 2019-01-03 |
1144792789 | 100 Percent Chiropractic Ribley, LLC | Chiropractor | 9266 Knox Bridge Hwy Ste 200, Canton, GA 30114-4627 | 2018-12-20 |
1891265534 | Austin David Jones | Chiropractor | 6199 Hickory Flat Hwy Ste 142, Canton, GA 30115-7255 | 2018-11-26 |
1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
1134629363 | Thomas Joseph Van Petten | Chiropractor | 4774 Munson St Nw Ste 302, Canton, OH 44718-3634 | 2018-02-14 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.