Teneglis C Moe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7184 Issued in MN

Practice address

11919 Central Ave NE
Blaine, MN 55434-3911

Phone

(763) 757-1660

Fax

(763) 757-4108

NPI assigned

Jan 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Life Chiropractic LLCGroup PAC ID 8224302211, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lake Life Chiropractic LLC

  • Chiropractor
  • Chaska, MN
  • NPI 1952826778
  Medicare reassignment Care Compare group NPD
• Blaine Chiropractic Center PA

  • Chiropractor
  • Blaine, MN
  • NPI 1376759589
  Medicare reassignment NPD
• Bloomington Wellness Center, PA

  • Chiropractor
  • Bloomington, MN
  • NPI 1225175755
  Medicare reassignment NPD
• Jo G Theisen DC, PA

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1952484602
  NPD (past)

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1528837663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 UTICA AVE S APT 433",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554163451",
            "telephone_number": "612-804-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 CENTRAL AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-757-1660",
            "fax_number": "763-757-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "TENEGLIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Health Homecare LLC
• Minnesota Interventional Pain Associates
• Minnesota Loon Home Care LLC
• Minnesota Loon Transport LLC
• Modern Dental Professionals
• Victoria Ashley Moeller
• Patricia A. Moen, M.S., ATC
• David Moga
• Angie Mohamed, PHARMD
• Asha Mohamed

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.

Verify at the official NPI Registry.