Individual provider Active NPI

Michael Edward Teifke, D.C.

  • Chiropractor
  • Lawrenceburg, IN
National Provider Identifier
1801838743
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1937 Issued in OH
Practice address
401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374
Phone
(812) 539-2900
Fax
(812) 539-2999
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1937 OH Primary

Addresses

Primary practice location

401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374

Mailing address

401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374
Phone (812) 539-2900

Other identifiers 1

IdentifierTypeStateIssuer
0966647MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000643 IN Practitioner - Chiropractic 3476531419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 W Eads Pkwy
Suite 320
Lawrenceburg, IN 47025-1374
Phone (812) 539-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1937OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Medicine and Rehabilitation LLC Chiropractor CurrentSince Mar 1, 2022 Accepting new patients
Elite Physical Medicine and Rehabilitation LLC Chiropractor CurrentSince Mar 1, 2022 Accepting new patients
Principled Chiropractic of Batesville Chiropractor PastSince Sep 4, 2018 Accepting new patients

Locations

401 W Eads Pkwy
Ste 320
Lawrenceburg, IN 47025
Phone (812) 389-8437

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1801838743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900",
            "fax_number": "812-539-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900",
            "fax_number": "812-539-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIFKE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0966647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.