Organization Active NPI

Keith a Terro II DC LLC

  • Sports Physician Chiropractor
  • Lafayette, LA
National Provider Identifier
1043779523
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
KEITH A TERRO II DC LLC
Practice address
224 Saint Landry St Ste 2a
Lafayette, LA 70506-3549
Phone
(337) 443-9300
Fax
(337) 443-9311
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Dr. Keith Anthony Terro II, DC, CCSPNPI 1891864906
Title
Owner
Phone
(337) 443-9300

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

224 Saint Landry St Ste 2a
Lafayette, LA 70506-3549

Mailing address

224 Saint Landry St Ste 2a
Lafayette, LA 70506-3549
Phone (337) 443-9300

Other identifiers 1

IdentifierTypeStateIssuer
1417OtherLASTATE LICENSE NUMBER

Other names 1

  • Terro Spine and Sport Doing business as

National Provider Directory

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": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1043779523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST STE 2A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-443-9300",
            "fax_number": "337-443-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST STE 2A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-443-9300",
            "fax_number": "337-443-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A TERRO II DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "TERRO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-443-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1417",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terro Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terro Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.