Organization Active NPI

Teeple Chiropractic Clinic, Inc.

  • Chiropractor
  • Bonner Springs, KS
National Provider Identifier
1043433055
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04560 Issued in KS
Legal business name
TEEPLE CHIROPRACTIC CLINIC, INC.
Practice address
15604 Pinehurst Dr
Suite 3a
Bonner Springs, KS 66012-8233
Phone
(913) 724-1538
Fax
(913) 724-3222
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Michael J Teeple, DCNPI 1588660088
Title
Chiropractor
Phone
(913) 724-1538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04560 KS Primary

Addresses

Primary practice location

15604 Pinehurst Dr
Suite 3a
Bonner Springs, KS 66012-8233

Mailing address

PO Box 233
Basehor, KS 66007-0233
Phone (913) 724-1538

Other identifiers 2

IdentifierTypeStateIssuer
660053OtherKSBCBS - KS GROUP #
31740013OtherKSBCBS - KC GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000020 KS Part B Supplier - Clinic/Group Practice 9032281597 Receives reassigned benefits from 1 practitioner
Practice locations: Basehor, KS

National Provider Directory

National Provider Directory

Locations

15510 State Ave
Ste 8
Basehor, KS 66007
Phone (913) 724-1538

15330 Wolfcreek Pkwy
Ste 500
Basehor, KS 66007
Phone (913) 724-1538

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1043433055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660070233",
            "telephone_number": "913-724-1538",
            "fax_number": "913-724-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR",
            "address_2": "SUITE 3A",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660128233",
            "telephone_number": "913-724-1538",
            "fax_number": "913-724-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEPLE CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "TEEPLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "913-724-1538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - KS GROUP #",
            "identifier": "660053",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - KC GROUP #",
            "identifier": "31740013",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonner Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.