Active NPI
Ryan Teeter, DC
- Chiropractor
- Knoxville, TN
National Provider Identifier
1023528486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3013
- Practice address
- 117 Center Park Dr Ste 333
Knoxville, TN 37922-2171 - Phone
- (865) 288-4146
- NPI assigned
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 3013 | TN | Primary |
Addresses
Primary practice location
117 Center Park Dr Ste 333
Knoxville, TN 37922-2171
Mailing address
2401 Yellow Birch Way Apt 304
Knoxville, TN 37931-2786
Other practice location 1
2401 Yellow Birch Way Apt 304
Knoxville, TN 37931-2786
Phone (717) 818-1959
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023528486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 YELLOW BIRCH WAY APT 304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379312786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 CENTER PARK DR STE 333",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379222171",
"telephone_number": "865-288-4146"
}
],
"practiceLocations": [
{
"address_1": "2401 Yellow Birch Way Apt 304",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379312786",
"country_code": "US",
"telephone_number": "717-818-1959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEETER",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.