Terrill Lane Phelps Jr., DC, ND

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10250498-1202 Issued in ID

Practice address

591 N State Road 198
Salem, UT 84653-5668

Phone

(385) 200-2047

NPI assigned

Feb 28, 2017

Last updated

Feb 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hometown Healthcare LLC

  dba Hometown Healthcare

  • Chiropractor
  • Salem, UT
  • NPI 1477048858
  NPD Authorized official
• Utah Health Centers LLC

  • Chiropractor
  • Murray, UT
  • NPI 1518690114
  NPD Authorized official
• Optimum Chiropractic LLC

  • Chiropractor
  • Draper, UT
  • NPI 1396469508
  NPD (past)
• Utah Chiropractic & Car Accident LLC

  • Chiropractor
  • Salem, UT
  • NPI 1114766912
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1558801258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 N STATE ROAD 198",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535668",
            "telephone_number": "385-200-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N STATE ROAD 198",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535668",
            "telephone_number": "385-200-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "TERRILL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC, ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "10250498-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Lane Palmer
• Chad Allen Parrish, PA
• Madeleine Passmore
• Justin Thomas Perry, D.M.D.
• Jospeh Nicholas Pettersson
• Nathan Lee Pope
• Benjamin Todd Reid, RBT
• Revere Health PC (Revere Health)
• Stanley Dwayne Roberts, MD
• Aubrie Rebecca Robinette, ATC

• Chiropractor in Salem, UT
• Providers in Salem, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.