Individual provider Active NPI

Tela Perez

  • Chiropractor
  • Lima, OH
National Provider Identifier
1649885062
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04990 Issued in OH
Practice address
1905 Latham Ave
Lima, OH 45805-1637
Phone
(419) 228-0000
NPI assigned
Sep 11, 2020
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04990 OH Primary

Addresses

Primary practice location

1905 Latham Ave
Lima, OH 45805-1637

Mailing address

1905 Latham Ave
Lima, OH 45805-1637
Phone (419) 228-0000

Other practice location 1

210 Latchaw Dr
Defiance, OH 43512-4315
Phone (419) 785-4215

Other practice location 2

306 Reichelderfer Rd
Cridersville, OH 45806-2252
Phone (419) 228-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 Reichelderfer Rd
Cridersville, OH 45806-2252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiropractic & Wellness Studio Chiropractor Current Accepting new patients
Integrated Medical Group LLC CurrentSince Jul 6, 2021 Accepting new patients

Locations

306 Reichelderfer Rd
Cridersville, OH 45806
Phone (419) 645-4140

210 Latchaw Dr
Defiance, OH 43512
Phone (419) 785-4215

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.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1649885062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LATHAM AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051637",
            "telephone_number": "419-228-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LATHAM AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051637",
            "telephone_number": "419-228-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Latchaw Dr",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435124315",
            "country_code": "US",
            "telephone_number": "419-785-4215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Reichelderfer Rd",
            "address_purpose": "LOCATION",
            "city": "Cridersville",
            "state": "OH",
            "postal_code": "458062252",
            "country_code": "US",
            "telephone_number": "419-228-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "TELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.