Tdeth 1,LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TDETH 1,LLC

Practice address

9722 Great Hills TRL Ste 125
Austin, TX 78759-7265

Phone

(512) 239-8223

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Tom Etheredge

Title

Franchise Owner

Phone

(512) 599-4506

Specialties & licenses 1

Addresses

Other names 1

• Modern Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1144836172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 GRIFFIN CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311910",
            "telephone_number": "512-599-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 GREAT HILLS TRL STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597265",
            "telephone_number": "512-239-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Bee Caves Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787466662",
            "country_code": "US",
            "telephone_number": "512-980-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TDETH 1,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "ETHEREDGE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "512-599-4506"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TCH Pediatrics Inc
• TCH Pediatrics Inc
• Stephanie Tchen, AU.D.
• TCN-Atx Corp
• Tda 1a Espinoza PLLC
• Theresa Teague O'Connor, MA, CCSH, RPSGT, RST
• Mary C Teague, PHD
• Lindsey Teal
• Team Select Home Care of Texas, LLC
• Chasee Boyd Teasdale

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.