Organization Active NPI

Terrell Chiropractic, LLC

  • Chiropractor
  • Rainsville, AL
National Provider Identifier
1386709632
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001 Issued in AL
Legal business name
TERRELL CHIROPRACTIC, LLC
Practice address
65 McCurdy Ave South
Rainsville, AL 35986
Phone
(256) 638-9393
Fax
(256) 638-9395
NPI assigned
Dec 27, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Robert Bynum Terrell, D.C.NPI 1447337225
Title
Owner
Phone
(256) 638-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001 AL Primary

Addresses

Primary practice location

65 McCurdy Ave South
Rainsville, AL 35986

Mailing address

PO Box 1757
Rainsville, AL 35986-1757
Phone (256) 638-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000132 AL Part B Supplier - Clinic/Group Practice 6800048372 Receives reassigned benefits from 1 practitioner
Practice locations: Rainsville, AL

National Provider Directory

National Provider Directory

Locations

65 McCurdy Ave S
Rainsville, AL 35986
Phone (256) 638-9393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1386709632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1757",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359861757",
            "telephone_number": "256-638-9393",
            "fax_number": "256-638-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MCCURDY AVE SOUTH",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-9393",
            "fax_number": "256-638-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BYNUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-638-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.