Individual provider Active NPI

Alexander Terris, D.P.M.

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1043210917
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E10000086 Issued in DE
Practice address
2700 Silverside Rd Ste 3B
Wilmington, DE 19810-3724
Phone
(302) 478-1694
Fax
(302) 478-1696
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E10000086 DE Primary

Addresses

Primary practice location

2700 Silverside Rd Ste 3B
Wilmington, DE 19810-3724

Mailing address

2700 Silverside Rd
Ste 3B
Wilmington, DE 19810-3719
Phone (302) 478-1694

Other identifiers 3

IdentifierTypeStateIssuer
0000042617MedicaidDE
0000600450MedicaidDE
1043210917OtherDENPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexander.terris@totalfootcare.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E10000086DEMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1043210917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "STE 3B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-1694",
            "fax_number": "302-478-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD STE 3B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103724",
            "telephone_number": "302-478-1694",
            "fax_number": "302-478-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E10000086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000042617",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000600450",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043210917",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.terris@totalfootcare.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 Silverside Rd Ste 3B",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198103724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.