Active NPI
Terra Rae Fleming, D.C.
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1629280243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2947
- Practice address
- 12060 Juniper St NW
Coon Rapids, MN 55448-2279 - Phone
- (763) 413-1085
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2947 | MN | Primary |
Addresses
Primary practice location
12060 Juniper St NW
Coon Rapids, MN 55448-2279
Mailing address
12060 Juniper St NW
Coon Rapids, MN 55448-2279
Phone (763) 413-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 718328300 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrective Care Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Abeler Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Anoka, MN
- NPI 1225251770
-
- Chiropractor
- Blaine, MN
- NPI 1417024050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1629280243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12060 JUNIPER ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554482279",
"telephone_number": "763-413-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12060 JUNIPER ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554482279",
"telephone_number": "763-413-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "TERRA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "718328300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.