NPIMap

Organization Active NPI

Teitelbaum Chiropractic

  • Chiropractor
  • Misson Viejo, CA
National Provider Identifier
1962824110
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27875 Issued in CA
Legal business name
TEITELBAUM CHIROPRACTIC
Practice address
27405 Puerta Real
#350
Misson Viejo, CA 92691
Phone
(949) 215-4000
Fax
(949) 215-4500
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Jan Teitelbaum, DCNPI 1194772228
Title
Pres.
Phone
(949) 215-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27875 CA Primary

Addresses

Primary practice location

27405 Puerta Real
#350
Misson Viejo, CA 92691

Mailing address

27405 Puerta Real
#350
Misson Viejo, CA 92691
Phone (949) 215-4000

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1962824110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27405 PUERTA REAL",
            "address_2": "#350",
            "city": "MISSON VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-215-4000",
            "fax_number": "949-215-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27405 PUERTA REAL",
            "address_2": "#350",
            "city": "MISSON VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-215-4000",
            "fax_number": "949-215-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEITELBAUM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "949-215-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Misson Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.