Four Star Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007212 Issued in MI

Legal business name

FOUR STAR CHIROPRACTIC, INC

Practice address

22264 Madison St
Dearborn, MI 48124-3608

Phone

(313) 806-3500

Fax

(313) 359-1573

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Marie Ternes, D.C.NPI 1033133889

Title

President

Phone

(313) 806-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Marie Ternes, D.C.

  • Chiropractor
  • Dearborn, MI
  • NPI 1033133889
  NPD (past) Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003838905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22264 MADISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243608",
            "telephone_number": "313-806-3500",
            "fax_number": "313-359-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22264 MADISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243608",
            "telephone_number": "313-806-3500",
            "fax_number": "313-359-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERNES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-806-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "950H25358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Chantez-Yvonne Fortune
• Ryan Foshag
• Kierra Foster
• Shiryl Deen Fouani, CERTIFIED NURSE ASIS
• Mackenzie Robert Fountain, DO
• Four Transport Inc
• Stephanie Ryan Fowler
• Ricshyra Fox
• Ayad Ayman Bashir Francis
• Frank M Fayz MD PC

• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.