Active NPI
Marvin Terry, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1124159132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6604
- Practice address
- 2295 S Hiawassee Rd Ste 205
Orlando, FL 32835-8748 - Phone
- (407) 298-3090
- Fax
- (321) 293-0111
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6604 | FL | Primary |
Addresses
Primary practice location
2295 S Hiawassee Rd Ste 205
Orlando, FL 32835-8748
Mailing address
2295 S Hiawassee Rd Ste 205
Orlando, FL 32835-8748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55176 | Other | FL | BLUE CROSS- BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6604 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Alternatives Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Orlando, FL
- NPI 1912038928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124159132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 S HIAWASSEE RD STE 205",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328358748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 S HIAWASSEE RD STE 205",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328358748",
"telephone_number": "407-298-3090",
"fax_number": "321-293-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "MARVIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS- BLUE SHIELD",
"identifier": "55176",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.