Justin Terry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008404 Issued in CO

Practice address

5350 W Old Shakopee Cir
Bloomington, MN 55437-2769

Phone

(651) 443-2793

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Care Chiropractic and MassageGroup PAC ID 0547300295, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.terry.1@12515.direct.athenahealth.com

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.

• Complete Care Chiropractic and Massage

  • Multi-Specialty Clinic/Center
  • Eagle Point, OR
  • NPI 1619107695

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Complete Integrative Care, LLC

  • Family Medicine Physician
  • Medford, OR
  • NPI 1073061099

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1154084283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W OLD SHAKOPEE CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372769",
            "telephone_number": "651-443-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W OLD SHAKOPEE CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372769",
            "telephone_number": "651-443-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Janet Temple, MA, LPCC
• Fiona Roselyn Tenesaca Jimbo
• Jennifer Jeanne Ternes, RN
• Elizabeth Marie Terpstra, MA, OTR/L
• Devon Terry
• Naemi Gebretnsae Tesfamicael
• Brendan Tou Leng Thao
• Kaozong Thao
• The Geneva Suites LLC
• The James Inc

• Chiropractor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.