Active NPI
Terry L Bartley, D.C.
- Chiropractor
- Cordova, AK
National Provider Identifier
1265564629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 244
- Practice address
- 105 Council Ave W
Cordova, AK 99574-0579 - Phone
- (907) 424-5398
- Fax
- (907) 424-5298
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 244 | AK | Primary |
Addresses
Primary practice location
105 Council Ave W
Cordova, AK 99574-0579
Mailing address
PO Box 579
Cordova, AK 99574-0579
Phone (907) 424-5298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091110000006 | AK | Practitioner - Chiropractic | 3779621909 | Practice locations: Cordova, AK |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
105 W Council Ave
Cordova, AK 99574-0579
Phone (907) 424-5298
PO Box
Suite 579
Cordova, AK 99574-0579
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265564629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "CORDOVA",
"state": "AK",
"postal_code": "995740579",
"telephone_number": "907-424-5298",
"fax_number": "907-424-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COUNCIL AVE W",
"city": "CORDOVA",
"state": "AK",
"postal_code": "995740579",
"telephone_number": "907-424-5398",
"fax_number": "907-424-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "TERRY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, AK
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.
- 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.