Shane Tegenkamp, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2275 Issued in OH

Practice address

1010 Ohio Pike Ste B
Cincinnati, OH 45245-2300

Phone

(513) 449-1805

Fax

(513) 449-8490

NPI assigned

Dec 26, 2006

Sex

Male

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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Trenton Family Chiropractic

  • Medical Specialty Clinic/Center
  • Trenton, OH
  • NPI 1891302808
  Medicare reassignment NPD Authorized official
• BJ Chiropractic Center Inc

  dba Northgate Chiropractic Center

  • Chiropractor
  • Cincinnati, OH
  • NPI 1023107687
  NPD (past)
• BJ Chiropractic Center Inc

  dba Northgate Chiropractic Center

  • Chiropractor
  • Cincinnati, OH
  • NPI 1881773075
  NPD (past)
• East Chiropractic Center Inc

  • Chiropractor
  • Cincinnati, OH
  • NPI 1124118047
  NPD (past)
• West Clermont Chiropractic LLC

  dba West Clermont Chiropractic

  • Clinic/Center
  • Cincinnati, OH
  • NPI 1417421942
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1346305968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 B COLERAIN AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45251",
            "telephone_number": "513-245-9100",
            "fax_number": "513-245-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OHIO PIKE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452300",
            "telephone_number": "513-449-1805",
            "fax_number": "513-449-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGENKAMP",
        "first_name": "SHANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gedion B Teferra
• Taryn Tegarden, RN
• Bethlehem Tegegne
• Kidist Abate Tegegne, APRN-CNP
• Kayley Tegenkamp
• Todd Alan Tegtmeier, MD
• Kenneth Bren Tegtmeyer, MD
• Ryan Teierle
• Katharine Marie Teipen, LPC
• Io Marie Tejada Salgado

• Chiropractor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.