Organization Active NPI

Teasel Chiropractic Clinic, LLC

  • Chiropractor
  • Brecksville, OH
National Provider Identifier
1699333575
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TEASEL CHIROPRACTIC CLINIC, LLC
Practice address
8865 Brecksville Rd Ste 8
Brecksville, OH 44141-1931
Phone
(440) 736-7444
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. David Teasel, DC
Title
Managing Physician
Phone
(440) 736-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8865 Brecksville Rd Ste 8
Brecksville, OH 44141-1931

Mailing address

8865 Brecksville Rd Ste 8
Brecksville, OH 44141-1931
Phone (440) 736-7444

Other identifiers 1

IdentifierTypeStateIssuer
1245774850MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

National Provider Directory

National Provider Directory

Locations

8865 Brecksville Rd
Ste 8
Brecksville, OH 44141
Phone (440) 736-7444

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1699333575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 BRECKSVILLE RD STE 8",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411931",
            "telephone_number": "440-736-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 BRECKSVILLE RD STE 8",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411931",
            "telephone_number": "440-736-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEASEL CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "TEASEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "440-736-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245774850",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "8865 Brecksville Rd Ste 8",
            "city": "Brecksville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441411931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.