Active NPI
Jarrad Ryan Teller, D.C.
- Chiropractor
- Upper Darby, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007527L
- Practice address
- 7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310 - Phone
- (610) 352-1710
- Fax
- (610) 352-1740
- NPI assigned
- Jun 12, 2006
- Last updated
- Jan 28, 2009
- Sex
- Male
- Sole proprietor
- No
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 | DC007527L | PA | Primary |
Addresses
Primary practice location
7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310
Mailing address
7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310
Phone (610) 352-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007527L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aopm, LLC | Chiropractor | Current | Accepting new patients |
Locations
9622 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 620-7183
7000 Terminal Sq
Ste 100B
Upper Darby, PA 19082
Phone (215) 375-7107
7016 Terminal Sq
Ste 10A
Upper Darby, PA 19082
Phone (610) 352-1710
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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
- Upper Darby, PA
- NPI 1356660997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1578505418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 TERMINAL SQ",
"address_2": "SUITE 10A",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822310",
"telephone_number": "610-352-1710",
"fax_number": "610-352-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 TERMINAL SQ",
"address_2": "SUITE 10A",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822310",
"telephone_number": "610-352-1710",
"fax_number": "610-352-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLER",
"first_name": "JARRAD",
"middle_name": "RYAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007527L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.