Yonas Eyassu Tedla, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06683 Issued in IA

Practice address

1923 N Main St
Davenport, IA 52803

Phone

(563) 322-8289

Fax

(563) 322-8289

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1144301730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N MAIN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032908",
            "telephone_number": "563-322-8289",
            "fax_number": "563-322-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N MAIN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-322-8289",
            "fax_number": "563-322-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 E 12th street suit 330",
            "address_2": "330",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "52803",
            "country_code": "US",
            "telephone_number": "563-328-2892",
            "fax_number": "563-322-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDLA",
        "first_name": "YONAS",
        "middle_name": "EYASSU",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Tatum, DC, DACBR
• Jacob Tauke, RPH
• Mary-Anne Tawiah-Boateng, PHARMD
• Marjorie Taylor, DDS
• Ryan J. Taylor, D.O.
• Cassy Elizabeth Teff
• Mallory Tegeler
• Teleoptometric Service, P.C.
• Scott Temple, PHARMD
• Terrance P Riley DDS PC

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.