Individual provider Active NPI

Dawn Cheryl Teczar, DC

  • Chiropractor
  • Ridgefield, CT
National Provider Identifier
1215029707
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001263 Issued in CT
Practice address
11 Island Hill Ave
Ridgefield, CT 06877-4007
Phone
(203) 209-6992
Fax
(203) 431-6167
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001263 CT Primary

Addresses

Primary practice location

11 Island Hill Ave
Ridgefield, CT 06877-4007

Mailing address

11 Island Hill Ave
Ridgefield, CT 06877-4007
Phone (203) 209-6992

Other identifiers 1

IdentifierTypeStateIssuer
050001263CT01OtherCTBLUECROSSBLUESHIELD

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1215029707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ISLAND HILL AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774007",
            "telephone_number": "203-209-6992",
            "fax_number": "203-431-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ISLAND HILL AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774007",
            "telephone_number": "203-209-6992",
            "fax_number": "203-431-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECZAR",
        "first_name": "DAWN",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "050001263CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.