Tebby Clinic of Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1548 & 1524 Issued in NC

Legal business name

TEBBY CLINIC OF CHIROPRACTIC PA

Practice address

8415 Pineville Matthews Rd
Charlotte, NC 28226-4704

Phone

(704) 541-7111

Fax

(704) 541-0983

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Michael Tebby, D.C.NPI 1407931991

Title

Owner

Phone

(704) 541-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Alan Michael Tebby, D.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1407931991
  Medicare reassignment NPD Authorized official
• Kaisha Byers

  • Physician Assistant
  • Charlotte, NC
  • NPI 1740482348
  NPD (past)
• Natalie George Randazzo, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1275634545
  NPD (past)
• Thomas Raymond Foltz Jr., D.C.

  • Chiropractor
  • Damascus, VA
  • NPI 1841375334
  NPD (past)
• Terry Lawrence Poe, PSYD, LP

  • Psychologist
  • Burnsville, MN
  • NPI 1184738254

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1275618779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264704",
            "telephone_number": "704-541-7111",
            "fax_number": "704-541-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264704",
            "telephone_number": "704-541-7111",
            "fax_number": "704-541-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEBBY CLINIC OF CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "TEBBY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-541-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1548 & 1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908831",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Teal, LCMHC
• Sandra Carpenter Teal, FNP
• Wendy Yoshino Teal, CCC-SLP
• Brittany Teasley
• Alysun R Tebben, ORTL
• Alan Michael Tebby, D.C.
• Lauren Tecco
• Anna Burton Tedder, PA-C
• Lesley Anne Tedesco, DPT, ATC
• Eden Tedla, PA-C

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.