Active NPI
Teri Janeane Cristaldi, D.C.
- Chiropractor
- Lady Lake, FL
National Provider Identifier
1356713564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12185
- Practice address
- 628 Cedar LN
Lady Lake, FL 32159-3211 - Phone
- (406) 396-3502
- NPI assigned
- Oct 27, 2015
- Last updated
- May 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3970 | MT | |
| Chiropractor | 111N00000X | CH12185 | FL | Primary |
Addresses
Primary practice location
628 Cedar LN
Lady Lake, FL 32159-3211
Mailing address
628 Cedar LN
Lady Lake, FL 32159-3211
Phone (406) 396-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
628 Cedar LN
Lady Lake, FL 32159-3211
Phone (406) 396-3502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12185 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bender Chiropractic Center PA | Chiropractor | Current | Accepting new patients |
| Clark D Lundgren DC LLC | Chiropractor | Past | Accepting new patients |
| Yoder Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
321 Indian Rocks Rd N
Ste C
Belleair Bluffs, FL 33770
Phone (727) 559-7881
Organizations & group practices 3
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.
-
- Chiropractor
- Belleair Bluffs, FL
- NPI 1497913990
-
- Chiropractor
- Lady Lake, FL
- NPI 1326224759
-
dba Lundgren Chiropractic & Wellness Clinic LLC
- Chiropractor
- Thompson Falls, MT
- NPI 1023581808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1356713564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 CEDAR LN",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593211",
"telephone_number": "406-396-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 CEDAR LN",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593211",
"telephone_number": "406-396-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTALDI",
"first_name": "TERI",
"middle_name": "JANEANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "3970",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Michelle Angela Copp, ARNP
- Cora Health Services, Inc (CORA Physical Therapy- Rolling Acres)
- Cristina N Cortes, MD
- Laura Costa, APRN
- Sydnie Costello
- Maria Abigail Crystal, M.D.
- Jennifer Lyn Cultrera, M.D.
- Sandra Deloris Cunningham, D.C.
- Curelogics Wound Care and Hyperbaric LLC
- Maria Pilar Czupryn, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.