Tedra Burke-Searls Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24095 Issued in CA

Legal business name

TEDRA BURKE-SEARLS CHIROPRACTIC, INC.

Practice address

1822 W Kettleman LN Ste 5
Lodi, CA 95242-4218

Phone

(209) 334-2841

Fax

(209) 334-2307

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Tedra L Burke-Searls, DCNPI 1104844828

Title

President

Phone

(209) 334-2841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tedra L Burke-Searls, D.C.

  • Chiropractor
  • Lodi, CA
  • NPI 1104844828
  Medicare reassignment NPD Authorized official
• Glen C Schaefer, DC

  • Chiropractor
  • Lodi, CA
  • NPI 1134287485
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1215940242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 W KETTLEMAN LN STE 5",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424218",
            "telephone_number": "209-334-2841",
            "fax_number": "209-334-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W KETTLEMAN LN STE 5",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424218",
            "telephone_number": "209-334-2841",
            "fax_number": "209-334-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 S Fairmont Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952404643",
            "country_code": "US",
            "telephone_number": "209-334-2841",
            "fax_number": "209-334-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEDRA BURKE-SEARLS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BURKE-SEARLS",
        "authorized_official_first_name": "TEDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-334-2841",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack S. Tanenbaum, LCSW
• Adela Karina Tapia, PTA
• Tareq a Ali MD Apc
• Timothy Tarrant
• Deja Tatman
• Cynthia Michelle Teeple
• Tamrah Miller Tenhaeff, PAC
• Bowen James Terra, DPT, PT
• Daniel W. Terry Jr., MD
• Koleen Khale Testado

• Chiropractor in Lodi, CA
• Providers in Lodi, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.