Organization Active NPI

W. Richard Teeters, LLC

  • Medical Specialty Clinic/Center
  • Dayton, OH
National Provider Identifier
1023295482
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
754 Issued in OH
Legal business name
W. RICHARD TEETERS, LLC
Practice address
1353 Woodman Dr
Dayton, OH 45432-3425
Phone
(937) 252-4400
Fax
(937) 252-4402
NPI assigned
Jan 29, 2008
Organization subpart
Yes
Parent organization
W. RICHARD TEETERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Richard Teeters, D.C.
Title
Owner Chiropractor
Phone
(937) 252-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 754 OH Primary

Addresses

Primary practice location

1353 Woodman Dr
Dayton, OH 45432-3425

Mailing address

1353 Woodman Dr
Dayton, OH 45432-3425
Phone (937) 252-4400

Other identifiers 1

IdentifierTypeStateIssuer
0981988MedicaidOH

National Provider Directory

National Provider Directory
Part of
W Richard Teeters LLC

Locations

1353 Woodman Dr
Dayton, OH 45432
Phone (937) 252-4400

551 W 2nd St
Xenia, OH 45385
Phone (937) 376-3873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1023295482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323425",
            "telephone_number": "937-252-4400",
            "fax_number": "937-252-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323425",
            "telephone_number": "937-252-4400",
            "fax_number": "937-252-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. RICHARD TEETERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W. RICHARD TEETERS",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "TEETERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "937-252-4400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.