David Alan Terry, DC
Individual provider Active NPI Chiropractor · Maryville, TN
NPI 1104856772 · NPPES record last updated Jun 10, 2019
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Nov 26, 2014.
Key facts
- NPI
- 1104856772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2427 (TN)
- Practice address
- 402 Greenbelt Dr
Maryville, TN 37804-5702 - Phone
- (865) 268-4268
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Health & Rehabilitation Center | Chiropractor | Past | Accepting new patients |
| Balance and Support Dynamics, LLC | Past |
Accepting new patients | |
| Total Care Chiropractic | Chiropractor | Past | Accepting new patients |
| Family First Medical Center, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2427 | TN | Yes |
Addresses
Primary practice location
402 Greenbelt Dr
Maryville, TN 37804-5702
Mailing address
847 Turner St
Maryville, TN 37801-3595
Phone (865) 984-5588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2427 | Other | TN | CHIROPRACTIC LICENSE |
NPI Registry JSON
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1104856772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 TURNER ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378013595",
"telephone_number": "865-984-5588",
"fax_number": "865-273-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 GREENBELT DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045702",
"telephone_number": "865-268-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "2427",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.