Organization Active NPI

Donald R Teusaw DC PC

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1235395237
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
939 Issued in NE
Legal business name
DONALD R TEUSAW DC PC
Practice address
11525 S 36TH St
Bellevue, NE 68123-1207
Phone
(402) 292-1337
Fax
(402) 292-1369
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Donald R Teusaw, D.C.
Title
President
Phone
(402) 292-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 939 NE Primary

Addresses

Primary practice location

11525 S 36TH St
Bellevue, NE 68123-1207

Mailing address

11525 S 36TH St
Bellevue, NE 68123-1207
Phone (402) 292-1337

Other identifiers 3

IdentifierTypeStateIssuer
350045550OtherNEUNION PACIFIC MEDICARE
36625OtherNEBLUE CROSS BLUE SHIELD
1912923244OtherNEINDIVIDUAL NPI

Other names 1

  • Teusaw Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1235395237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 S 36TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231207",
            "telephone_number": "402-292-1337",
            "fax_number": "402-292-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 S 36TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231207",
            "telephone_number": "402-292-1337",
            "fax_number": "402-292-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R TEUSAW DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "TEUSAW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-292-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION PACIFIC MEDICARE",
            "identifier": "350045550",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36625",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912923244",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teusaw Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.