Individual provider Active NPI

Victor Louis Tebbs, DC

  • Orthopedic Chiropractor
  • Hurricane, UT
National Provider Identifier
1164559266
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
161163-1202 Issued in UT
Practice address
15 N 200 W
Hurricane, UT 84737-3484
Phone
(435) 635-4688
Fax
(435) 635-4689
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 161163-1202 UT Primary

Addresses

Primary practice location

15 N 200 W
Hurricane, UT 84737-3484

Mailing address

15 N 200 W
Hurricane, UT 84737-3484
Phone (435) 635-4688

Other names 1

  • Mrs. Lora Lee Tebbs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Chiropractic PC PastSince Feb 10, 2014 Accepting new patients

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164559266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N 200 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373484",
            "telephone_number": "435-635-4688",
            "fax_number": "435-635-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 200 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373484",
            "telephone_number": "435-635-4688",
            "fax_number": "435-635-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBS",
        "first_name": "VICTOR",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "161163-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "TEBBS",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "OFFICE MANAGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.