Individual provider Active NPI

Joanna Tellez, DC

  • Chiropractor
  • Lansdale, PA
National Provider Identifier
1679928998
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011151 Issued in PA
Practice address
1411 Welsh Rd Ste B
Lansdale, PA 19446-1360
Phone
(267) 446-1345
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AJ010913 PA
Chiropractor 111N00000X DC011151 PA Primary

Addresses

Primary practice location

1411 Welsh Rd Ste B
Lansdale, PA 19446-1360

Mailing address

1411 Welsh Rd Ste B
Lansdale, PA 19446-1360
Phone (267) 446-1345

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

LicenseStateTypeSpecialty
AJ010913PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Transformed Wellness Centers PLLC Chiropractor CurrentSince Feb 6, 2023 Accepting new patients
Experience Chiropractic East, LLC Chiropractor PastSince Jun 29, 2020 Accepting new patients

Locations

2609 Jenkintown Rd
Glenside, PA 19038
Phone (215) 659-7345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1679928998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WELSH RD STE B",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461360",
            "telephone_number": "267-446-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WELSH RD STE B",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461360",
            "telephone_number": "267-446-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ010913",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.