Tetzlaff Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

189770

Legal business name

TETZLAFF CHIROPRACTIC, INC.

Practice address

2450 E Whitmore Ave
Ceres, CA 95307-2637

Phone

(209) 538-0647

Fax

(209) 538-8737

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Patrick Tetzlaff, D.C.NPI 1710069216

Title

Owner

Phone

(209) 538-0647

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Patrick Tetzlaff, D.C.

  • Chiropractor
  • Ceres, CA
  • NPI 1710069216
  NPD (past) Authorized official
• Miguel A Castillo, D.C.

  • Chiropractor
  • San Ramon, CA
  • NPI 1730423088
  NPD (past)
• Ronald M Megee, D.C.

  • Chiropractor
  • Modesto, CA
  • NPI 1487679296
  NPD (past)
• James M Sanford Jr., D.C.

  • Chiropractor
  • Ceres, CA
  • NPI 1972522795
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356481477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072637",
            "telephone_number": "209-538-0647",
            "fax_number": "209-538-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072637",
            "telephone_number": "209-538-0647",
            "fax_number": "209-538-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETZLAFF CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TETZLAFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-538-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "189770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "189770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evanglist Cory Taylor III
• Jeri Taylor
• Telecare
• Telecare Corporation
• Telecare Corporation (Stanislaus County MCRT)
• Stephen Patrick Tetzlaff, D.C.
• Richard James Thomason III
• John Thompson
• Nakisha Thompson, LVN
• Peter W Thompson III, L.C.S.W.

• Chiropractor in Ceres, CA
• Providers in Ceres, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.