Telic Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

714 Issued in MN

Legal business name

TELIC FAMILY CHIROPRACTIC

Practice address

19157 Soder Road
Brainerd, MN 56401

Phone

(218) 828-4166

Fax

(218) 828-4496

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Trapper Kuecher, D.C.NPI 1508844101

Title

Ceo

Phone

(218) 828-4166

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Telic Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Telic Family Chiropractic PA

  • Chiropractor
  • Brainerd, MN
  • NPI 1063653202
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Kuecher, D.C.

  • Chiropractor
  • Brainerd, MN
  • NPI 1508844101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1184738866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19157 SODER ROAD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-4166",
            "fax_number": "218-828-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19157 SODER ROAD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-4166",
            "fax_number": "218-828-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELIC FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "KUECHER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TRAPPER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-828-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "129754",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-5229",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0095",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "527P6TE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Tabatt, D.P.M.
• Philip B Tange, MSW
• Natasha N Tanner
• Tyra Lee Taylor, MSW, LICSW
• Angela Mae Teckemeyer, APRN, DNP
• Telic Family Chiropractic PA
• Tender Care Nursing, Inc.
• Janelle C Tepper, CRNA
• George Lorne Tetreault
• The Evangelical Lutheran Good Samaritan Society

• Chiropractor in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.