Smith-Teitelbaum Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27875 Issued in CA

Legal business name

SMITH-TEITELBAUM CHIROPRACTIC INC.

Practice address

26440 La Alameda
Suite 310
Mission Viejo, CA 92691

Phone

(949) 215-4500

Fax

(949) 348-2396

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jan Teitelbaum, D.C.NPI 1194772228

Title

President

Phone

(949) 215-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teitelbaum Chiropractic, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Smith-Teitelbaum Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teitelbaum Chiropractic

  • Chiropractor
  • Misson Viejo, CA
  • NPI 1962824110
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan Teitelbaum, DC

  • Chiropractor
  • Mission Viejo, CA
  • NPI 1194772228
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1790102895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA",
            "address_2": "SUITE 310",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-215-4500",
            "fax_number": "949-348-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA",
            "address_2": "SUITE 310",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-215-4500",
            "fax_number": "949-348-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH-TEITELBAUM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-215-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W19911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teitelbaum Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Sinor
• Deborah (Debbie) Sirkin, MFT
• Stephanie Mignon Sisneros, PA-C
• David Edward Skonezny, CADC-II, ICADC
• Helen Slama
• Amber Smith, MS, RD
• Amy Smith
• Kelly Smith, O.T.
• Melanie A Smith, CLEC
• Sarah Smith

• Chiropractor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.