Organization Active NPI

Terry Chiropractic Health Center, LLC

  • Medical Specialty Clinic/Center
  • Boulder, CO
National Provider Identifier
1447455316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1561 Issued in CO
Legal business name
TERRY CHIROPRACTIC HEALTH CENTER, LLC
Practice address
2960 Diagonal Hwy
Suite 206
Boulder, CO 80301-1412
Phone
(303) 440-0500
Fax
(303) 440-4621
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Jay Terry, DC
Title
Managing Member
Phone
(303) 440-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1561 CO Primary

Addresses

Primary practice location

2960 Diagonal Hwy
Suite 206
Boulder, CO 80301-1412

Mailing address

2960 Diagonal Hwy
Suite 206
Boulder, CO 80301-1412
Phone (303) 440-0500

National Provider Directory

National Provider Directory

Locations

2960 Diagonal Hwy
Ste 206
Boulder, CO 80301
Phone (303) 440-0500

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447455316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 DIAGONAL HWY",
            "address_2": "SUITE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011412",
            "telephone_number": "303-440-0500",
            "fax_number": "303-440-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 DIAGONAL HWY",
            "address_2": "SUITE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011412",
            "telephone_number": "303-440-0500",
            "fax_number": "303-440-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-440-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.