Individual provider Active NPI

Jefferson Kirkland Teass, DC

  • Chiropractor
  • Vinton, VA
National Provider Identifier
1396728317
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000446 Issued in VA
Practice address
300 Virginia Ave
Vinton, VA 24179
Phone
(540) 982-2920
Fax
(540) 342-4835
NPI assigned
Nov 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000446 VA Primary

Addresses

Primary practice location

300 Virginia Ave
Vinton, VA 24179

Mailing address

PO Box 646
300 Virginia Ave
Vinton, VA 24179-0646
Phone (540) 982-2920

Other identifiers 1

IdentifierTypeStateIssuer
015913OtherANTHEM BCBS VIRGINIA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Optometric Center PLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396728317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "address_2": "300 VIRGINIA AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241790646",
            "telephone_number": "540-982-2920",
            "fax_number": "540-342-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VIRGINIA AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "24179",
            "telephone_number": "540-982-2920",
            "fax_number": "540-342-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASS",
        "first_name": "JEFFERSON",
        "middle_name": "KIRKLAND",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VIRGINIA",
            "identifier": "015913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.