Individual provider Active NPI

Terry Joe Tolle, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1124131826
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001559A Issued in IN
Practice address
4625 S Emerson Ave
Indianapolis, IN 46203-5972
Phone
(317) 522-2303
Fax
(317) 522-2304
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001559A IN Primary

Addresses

Primary practice location

4625 S Emerson Ave
Indianapolis, IN 46203-5972

Mailing address

5135 S Emerson Ave Ste C
Indianapolis, IN 46237-1967
Phone (317) 991-5710

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
08001559AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Plus Management, Inc Chiropractor CurrentSince Oct 29, 2023 Accepting new patients
Indiana Pain and Injury Centers LLC CurrentSince Jan 20, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health Centered Chiropractic Chiropractor Past Accepting new patients
John Lang Chiropractic, LLC Chiropractor Past Accepting new patients
Health Centered of Scottsburg, Inc Chiropractor Past Accepting new patients
Health 1St of Greenfield, PC PastSince Sep 1, 2006 Accepting new patients

Locations

5135 S Emerson Ave
Ste C
Indianapolis, IN 46237
Phone (317) 991-5710

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1124131826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 S EMERSON AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371967",
            "telephone_number": "317-991-5710",
            "fax_number": "317-755-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035972",
            "telephone_number": "317-522-2303",
            "fax_number": "317-522-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "TERRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.