Active NPI
Theodore Maltezos
- Chiropractor
- Frisco, TX
National Provider Identifier
1801060389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8841
- Practice address
- 4851 Legacy Dr Ste 307
Frisco, TX 75034-0853 - Phone
- (972) 377-3909
- Fax
- (972) 377-4061
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 8841 | TX | Primary |
Addresses
Primary practice location
4851 Legacy Dr Ste 307
Frisco, TX 75034-0853
Mailing address
4851 Legacy Dr Ste 307
Frisco, TX 75034-0853
Phone (972) 377-3909
Other names 1
- Dr. Teddy Maltezos
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 |
|---|---|---|---|
| 8841 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1801060389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 LEGACY DR STE 307",
"city": "FRISCO",
"state": "TX",
"postal_code": "750340853",
"telephone_number": "972-377-3909",
"fax_number": "972-377-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 LEGACY DR STE 307",
"city": "FRISCO",
"state": "TX",
"postal_code": "750340853",
"telephone_number": "972-377-3909",
"fax_number": "972-377-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTEZOS",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEDDY",
"last_name": "MALTEZOS",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.