Sofia Tedesco, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

S03982 Issued in MD

Practice address

14804 Physicians LN Ste 222
Rockville, MD 20850-3947

Phone

(301) 424-0220

NPI assigned

Jul 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1316425762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MAIN MEWS",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786549",
            "telephone_number": "301-801-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 PHYSICIANS LN STE 222",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503947",
            "telephone_number": "301-424-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "SOFIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MD",
            "license": "S03982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Teague
• Karen Teal
• Tamiya Teberen
• Gladys Varim Tebong Nee Ngwanyi
• Julie Lynn Tebor, CRNP
• Aaron Tedla
• Enanu Mehari Tedla
• Adonay Eyesus Tefera
• Kebron Tefera
• Eric Teguia

• Independent Medical Examiner Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Independent Medical Examiner Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.