Active NPI
Teresa Ann Elder, D.C.
- Chiropractor
- Overland Park, KS
National Provider Identifier
1780893701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4171
- Practice address
- 7905 Santa Fe Dr
Overland Park, KS 66204-3644 - Phone
- (913) 530-0128
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 | 4171 | KS | Primary |
Addresses
Primary practice location
7905 Santa Fe Dr
Overland Park, KS 66204-3644
Mailing address
2705 W 51St Ter
Westwood, KS 66205-1754
Phone (913) 530-0128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34126016 | Other | KS | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 4171 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780893701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 W 51ST TER",
"city": "WESTWOOD",
"state": "KS",
"postal_code": "662051754",
"telephone_number": "913-530-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 SANTA FE DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043644",
"telephone_number": "913-530-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "TERESA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "4171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "34126016",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.