Individual provider Active NPI

Terry A Eisenhauer, D.C.

  • Chiropractor
  • Salina, KS
National Provider Identifier
1376626077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03916 Issued in KS
Practice address
1945 S Ohio St
Suite B1
Salina, KS 67401-6791
Phone
(785) 825-1919
Fax
(785) 825-7157
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03916 KS Primary

Addresses

Primary practice location

1945 S Ohio St
Suite B1
Salina, KS 67401-6791

Mailing address

1945 S Ohio St
Suite B1
Salina, KS 67401-6791
Phone (785) 825-1919

Other identifiers 1

IdentifierTypeStateIssuer
062194OtherKSBCBS INDIVIDUAL PROVIDER

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
01-03916KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Gate Chiropractic, P.a. Chiropractor PastSince Jun 20, 2001 Accepting new patients
Salina Spine and Rehab LLC Past Accepting new patients

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376626077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S OHIO ST",
            "address_2": "SUITE B1",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016791",
            "telephone_number": "785-825-1919",
            "fax_number": "785-825-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 S OHIO ST",
            "address_2": "SUITE B1",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016791",
            "telephone_number": "785-825-1919",
            "fax_number": "785-825-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHAUER",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "062194",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

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.

Verify at the official NPI Registry.