Active NPI
W. Richard Teeters, LLC
- Medical Specialty Clinic/Center
- Dayton, OH
National Provider Identifier
1023295482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 754
- 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 TEETERS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0981988 | Medicaid | OH |
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.
-
- Physical Therapist
- Xenia, OH
- NPI 1356682645
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.