TEODORO C JR. TANG (DC) – Chiropractor, NPI 1073528956

TEODORO C JR. TANG (DC) is a healthcare provider. based in Jefferson city, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2006001147 (MO). The NPI Number for TEODORO C JR. TANG (DC) is 1073528956

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TEODORO C JR. TANG (DC)
NPI
1073528956
Phone
(573) 635-9655
Address
3349 AMERICAN AVE STE B
Enumeration Date
29 July 2006
Last Update Date
2 August 2011

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
5736359655
Graduation Year
2005 (21 years ago)
PAC ID
9234146929
Group Practice PAC ID
4284651274
Professional Enrollment ID
I20060322000016
Address ID
MO651091080JE3349XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for TEODORO C JR. TANG (DC)

  • American Avenue, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651091079

    Phone: (573) 635-9655

    Type: Location

  • 413, East McCarty Street, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651013141

    Phone: (314) 322-4653

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060322000016IChiropracticMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions47531$0
98940Chiropractic manipulative treatment, 1-2 spinal regions29912$0
View full utilization report →

Insurance plans in this area (ZIP 65109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284651274View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

Does TEODORO C JR. TANG (DC) have a public NPI I can cite?
Public records show TEODORO C JR. TANG (DC) under NPI 1073528956.
Should I treat TEODORO C JR. TANG (DC) as an active provider?
Patients and plans typically see TEODORO C JR. TANG (DC) as active in the national extract.
What type of care does TEODORO C JR. TANG (DC) provide?
TEODORO C JR. TANG (DC)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Is TEODORO C JR. TANG (DC) tied to Jefferson City, Missouri?
If you are local to Jefferson City, Missouri, TEODORO C JR. TANG (DC) may be relevant to your search.
Who maintains TEODORO C JR. TANG (DC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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