Individual provider Active NPI

Daniel M. Terray Jr., DC

  • Rehabilitation Chiropractor
  • Old Saybrook, CT
National Provider Identifier
1386821585
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0001940 Issued in CT
Practice address
140 Old Post Rd
Old Saybrook, CT 06475-4420
Phone
(860) 388-1994
Fax
(860) 388-2255
NPI assigned
Jan 30, 2008
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 0001940 CT Primary

Addresses

Primary practice location

140 Old Post Rd
Old Saybrook, CT 06475-4420

Mailing address

140 Old Post Rd
Old Saybrook, CT 06475-4420
Phone (860) 388-1994

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
001490CTMDMarriage & Family Therapist
0001940CTMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sudowski Chiropractic Offices 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1386821585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OLD POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754420",
            "telephone_number": "860-388-1994",
            "fax_number": "860-388-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754420",
            "telephone_number": "860-388-1994",
            "fax_number": "860-388-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAY",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CT",
            "license": "0001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.