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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN TIEDGE DC
NPI 1295633113
Chiropractor in Thiensville, WI

Active since October 29, 2026
122 GREEN BAY RD, THIENSVILLE, WI 53092(262) 478-9104 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Tiedge Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN TIEDGE DC (NPI 1295633113) is an individual chiropractor in Thiensville, Wisconsin, licensed in Wisconsin (6439-12) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1295633113
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUSTIN TIEDGECredential: DC
Location Address122 GREEN BAY RDThiensville, WI 53092-1624
Mailing Address1628 Vogt DrWest Bend, WI 53095-8508 · (262) 478-9104
Phone(262) 478-9104
Sole ProprietorYes
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1295633113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6439-12
Definition
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.
122 GREEN BAY RD, Thiensville, WI 53092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES R. SHELSTAD D.C.
Chiropractor
122 GREEN BAY RD
THIENSVILLE, WI 53092
Ozaukee County (262) 242-5577
OZAUKEE CHIROPRACTIC CLINIC, LTD
Chiropractor
122 GREEN BAY RD
THIENSVILLE, WI 53092
Ozaukee County (262) 242-5577
PROHEALTH CHIROPRACTIC CENTER SC
Chiropractor
122 GREEN BAY RD
THIENSVILLE, WI 53092
Ozaukee County (262) 242-5577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Tiedge's NPI number?

The NPI number for Justin Tiedge is 1295633113. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Justin Tiedge located?

Justin Tiedge practices at 122 Green Bay Rd, Thiensville, WI 53092. The listed phone number is (262) 478-9104.

What is Justin Tiedge's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Justin Tiedge was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.