Kevin C Teagle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3232 Issued in OR

Practice address

1829 Nebraska Ave
Grants Pass, OR 97527-5701

Phone

(541) 474-2225

Fax

(541) 474-2229

NPI assigned

Jan 4, 2007

Last updated

Apr 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balancepoint Health Center, PC

  • Chiropractor
  • Grants Pass, OR
  • NPI 1154599207
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1275680175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275701",
            "telephone_number": "541-474-2225",
            "fax_number": "541-474-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275701",
            "telephone_number": "541-474-2225",
            "fax_number": "541-474-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGLE",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "3232",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "93-1325306",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Victoria Taylor, LMT
• Gerd Solveig Taylor, BS., RDH.
• Laura Ann Taylor
• Matthew James Taylor
• Benjamin Tayson
• Kendall Tecmire
• James S Teepe, LMT
• Ariel Teffeteller, LMSW
• Telemedpsych LLC
• Ter Nempthe, LLC

• Chiropractor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.