Active NPI
Trent Jacob Teegarden, D.C.
- Chiropractor
- Lehi, UT
National Provider Identifier
1396069225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7280952-1202
- Practice address
- 1804 N 110 E
Lehi, UT 84043-5918 - Phone
- (801) 616-9775
- Fax
- (801) 268-8097
- NPI assigned
- Mar 22, 2010
- Sex
- Male
- 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 | 7280952-1202 | UT | Primary |
Addresses
Primary practice location
1804 N 110 E
Lehi, UT 84043-5918
Mailing address
1804 N 110 E
Lehi, UT 84043-5918
Phone (801) 616-9775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1002 W Elm Ave
Hermiston, OR 97838-2711
Phone (541) 567-6277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7280952-1202 | UT | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1396069225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 N 110 E",
"city": "LEHI",
"state": "UT",
"postal_code": "840435918",
"telephone_number": "801-616-9775",
"fax_number": "801-268-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 N 110 E",
"city": "LEHI",
"state": "UT",
"postal_code": "840435918",
"telephone_number": "801-616-9775",
"fax_number": "801-268-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEGARDEN",
"first_name": "TRENT",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7280952-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.