Individual provider Active NPI

Terisa T. Fox, D.C.

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1518285329
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24130 Issued in CA
Practice address
2815 East Ave Ste B
Livermore, CA 94550-4790
Phone
(925) 443-7369
Fax
(925) 443-7369
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24130 CA Primary

Addresses

Primary practice location

2815 East Ave Ste B
Livermore, CA 94550-4790

Mailing address

2815 East Ave Ste B
Livermore, CA 94550-4790
Phone (925) 443-7369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000759 CA Practitioner - Chiropractic 6800074634 Reassigns benefits to 1 organization
Practice locations: Livermore, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2815 E Ave
Suite B
Livermore, CA 94550-4790
Phone (925) 443-7369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24130CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
T. Fox Chiropractic, Inc. Chiropractor CurrentSince Nov 26, 2019 Accepting new patients

Locations

2815 East Ave
Ste B
Livermore, CA 94550
Phone (925) 443-7369

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1518285329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 EAST AVE STE B",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504790",
            "telephone_number": "925-443-7369",
            "fax_number": "925-443-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 EAST AVE STE B",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504790",
            "telephone_number": "925-443-7369",
            "fax_number": "925-443-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "TERISA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.

Verify at the official NPI Registry.