Active NPI
Karen L Tedeschi, DC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1396964573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005274
- Practice address
- 1770 Century Blvd NE Ste a
Atlanta, GA 30345-3395 - Phone
- (404) 320-0204
- Fax
- (404) 320-1417
- NPI assigned
- Apr 25, 2007
- 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 | CHIR005274 | GA | Primary |
Addresses
Primary practice location
1770 Century Blvd NE Ste a
Atlanta, GA 30345-3395
Mailing address
1770 Century Blvd NE Ste a
Atlanta, GA 30345-3395
Phone (404) 320-0204
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 |
|---|---|---|---|
| CHIR005274 | GA | MD | Chiropractor |
| 5274 | GA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396964573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 CENTURY BLVD NE STE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453395",
"telephone_number": "404-320-0204",
"fax_number": "404-320-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 CENTURY BLVD NE STE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453395",
"telephone_number": "404-320-0204",
"fax_number": "404-320-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDESCHI",
"first_name": "KAREN",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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- Kathy Ann Teclezion, BSN, RN
- Kathryn Langner Tecosky, ED.S., LPC
- Katherine Wilson Teel, PHARMD
- Teens Little Ones and Children Pediactrics,LLC
- Teens, Little Ones and Children Pediatrics LLC
- Amanda Teer, PSYD
- Kibrewessen Dagne Tefera, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.