Active NPI
Thomas Leo Tegels, DC
- Chiropractor
- Windom, MN
National Provider Identifier
1629067129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1702
- Practice address
- 601 4TH Ave
Windom, MN 56101-1652 - Phone
- (507) 831-2460
- Fax
- (507) 831-2164
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- 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 | 1702 | MN | Primary |
Addresses
Primary practice location
601 4TH Ave
Windom, MN 56101-1652
Mailing address
601 4TH Ave
Windom, MN 56101-1652
Phone (507) 831-2460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147827300 | Medicaid | MN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | MN | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1629067129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 4TH AVE",
"city": "WINDOM",
"state": "MN",
"postal_code": "561011652",
"telephone_number": "507-831-2460",
"fax_number": "507-831-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 4TH AVE",
"city": "WINDOM",
"state": "MN",
"postal_code": "561011652",
"telephone_number": "507-831-2460",
"fax_number": "507-831-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGELS",
"first_name": "THOMAS",
"middle_name": "LEO",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147827300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windom, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.