Eric Boyd Teachout, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 12025 Issued in FL

Practice address

16521 San Carlos Blvd Ste 220
Fort Myers, FL 33908-5245

Phone

(239) 466-5656

Fax

(239) 466-1102

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Teachout Chiropractic & Wellness Center PA

  • Chiropractor
  • Fort Myers, FL
  • NPI 1780128777
  Medicare reassignment NPD
• Steven G Chance DC PA

  • Chiropractor
  • Fort Myers, FL
  • NPI 1265696215
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1902837958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 SAN CARLOS BLVD STE 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085245",
            "telephone_number": "239-466-5656",
            "fax_number": "239-466-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 SAN CARLOS BLVD STE 220",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085245",
            "telephone_number": "239-466-5656",
            "fax_number": "239-466-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHOUT",
        "first_name": "ERIC",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007757",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 12025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950A350040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDABLU",
            "identifier": "4ZZ2M",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P107612",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Taylor
• Nathaniel Taylor, RBT
• Ryan Taylor, D.O.
• Teresa Herrero Taylor II, PHD BCBA-D
• Teachout Chiropractic & Wellness Center PA
• Team Gindele PA
• Team Regency Healthcare, LLC (Fort Myers Rehabilitation Center)
• Trent Theodore Tedesco, MPT
• Richard Russell Teed Jr., M.D.
• Yeliset Tejada Diaz

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.