Individual provider Active NPI

David Teitler, L. AC.

  • Acupuncturist
  • Carbondale, CO
National Provider Identifier
1578836920
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
#288 Issued in CO
Practice address
54 Weant Blvd
Carbondale, CO 81623-2054
Phone
(970) 704-1310
Fax
(970) 704-1310
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X #288 CO Primary

Addresses

Primary practice location

54 Weant Blvd
Carbondale, CO 81623-2054

Mailing address

54 Weant Blvd
Carbondale, CO 81623-2054
Phone (970) 704-1310

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

LicenseStateTypeSpecialty
#288COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1578836920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WEANT BLVD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232054",
            "telephone_number": "970-704-1310",
            "fax_number": "970-704-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WEANT BLVD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232054",
            "telephone_number": "970-704-1310",
            "fax_number": "970-704-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITLER",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "#288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.