John Glendon Teasley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401458 Issued in MI

Practice address

10990 Chicago Dr
Zeeland, MI 49464-8100

Phone

(616) 546-3500

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Health Chiropractic Wellness Center PCGroup PAC ID 9234132655, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Back to Health Chiropractic Wellness Center P.C.

  • Chiropractor
  • Zeeland, MI
  • NPI 1346259025
  Medicare reassignment Care Compare group
• NCH Chiropractic, PLLC

  • Chiropractor
  • Lake Mary, FL
  • NPI 1083913529
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1710674312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648100",
            "telephone_number": "616-546-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648100",
            "telephone_number": "616-546-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "JOHN",
        "middle_name": "GLENDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14505",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ann Taraski, DC
• Philip W Tate, MD
• Ann Taylor
• Eva M Taylor
• Sonia Desiree Taylor, RN, BSN, MSN
• Katelyn Templer
• Elysia Teravest
• Dale G Terpstra, DO
• Laura Lee Terpstra
• Kayla Thomas, OTR/L

• Chiropractor in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.