Teodoro C Tang Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006001147 Issued in MO

Practice address

3349 American Ave Ste B
Jefferson City, MO 65109-1079

Phone

(573) 635-9655

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Quest Physicians Group, LLCGroup PAC ID 4284651274, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Quest Physicians Group, LLC

  • Physical Therapist
  • Jefferson City, MO
  • NPI 1801989876

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Health Quest Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Jefferson City, MO
  • NPI 1780841346
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1073528956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E MCCARTY ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013141",
            "telephone_number": "314-322-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 AMERICAN AVE STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091079",
            "telephone_number": "573-635-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "TEODORO",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006001147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "V08672",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400155",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Taggart, LCSW
• Bradley Edward Talley, M.D.
• Tamara V Hopkins, MD, LLC
• Tamara V. Hopkins, M.D., L.L.C.
• Evangelos G. Tambassis, M.D.
• Scott W. Tanner, D.O.
• Jeffrey Matthew Tarrant, PH.D.
• Arthur M Taylor, DO
• Jeanine Taylor
• Jordan Paul Taylor, CRNA

• Chiropractor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.