Individual provider Active NPI

Leo Teeter, DC

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1104005768
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8727 Issued in FL
Practice address
1009 SW 16TH LN
Ocala, FL 34471-1228
Phone
(352) 351-3413
Fax
(352) 629-6667
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8727 FL Primary

Addresses

Primary practice location

1009 SW 16TH LN
Ocala, FL 34471-1228

Mailing address

1009 SW 16TH LN
Ocala, FL 34471-1228
Phone (352) 351-3413

Other identifiers 1

IdentifierTypeStateIssuer
88568OtherFLBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000311 FL Practitioner - Chiropractic 6406930171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fakhoury Medical and Chiropractic Center PLLCGroup PAC ID 8628116464, 7 clinicians

Practice addresses (Care Compare)

1009 SW 16TH Lane
Ocala, FL 34471-1229
Phone (352) 351-3413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8727FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fakhoury Medical & Chiropractic Center PLLC Chiropractor CurrentSince Oct 25, 2009 Accepting new patients

Locations

1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1104005768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER",
        "first_name": "LEO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "88568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.