Active NPI
Dennis Wayne Teal, D.C.
- Chiropractor
- Livingston, TX
National Provider Identifier
1003029174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2740
- Practice address
- 2000 U S Highway 190 W
Livingston, TX 77351-9601 - Phone
- (936) 327-5572
- Fax
- (936) 327-5573
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2740 | TX | Primary |
Addresses
Primary practice location
2000 U S Highway 190 W
Livingston, TX 77351-9601
Mailing address
2000 U S Highway 190 W
Livingston, TX 77351-9601
Phone (936) 327-5572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011140 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2740 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1003029174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 U S HIGHWAY 190 W",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773519601",
"telephone_number": "936-327-5572",
"fax_number": "936-327-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 U S HIGHWAY 190 W",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773519601",
"telephone_number": "936-327-5572",
"fax_number": "936-327-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAL",
"first_name": "DENNIS",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011140",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.