Active NPI
Teandra Lamesa Cornish, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1346526282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11907
- Practice address
- 5500 Greenville Ave
Suite 606
Dallas, TX 75206-2941 - Phone
- (214) 750-9600
- Fax
- (214) 750-9601
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11907 | TX | Primary |
Addresses
Primary practice location
5500 Greenville Ave
Suite 606
Dallas, TX 75206-2941
Mailing address
5500 Greenville Ave
Suite 606
Dallas, TX 75206-2941
Phone (214) 750-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11907 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTC Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Desoto, TX
- NPI 1538442371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1346526282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 GREENVILLE AVE",
"address_2": "SUITE 606",
"city": "DALLAS",
"state": "TX",
"postal_code": "752062941",
"telephone_number": "214-750-9600",
"fax_number": "214-750-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 GREENVILLE AVE",
"address_2": "SUITE 606",
"city": "DALLAS",
"state": "TX",
"postal_code": "752062941",
"telephone_number": "214-750-9600",
"fax_number": "214-750-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNISH",
"first_name": "TEANDRA",
"middle_name": "LAMESA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.