Individual provider Active NPI

Tera Marchelle Egleston, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1669508529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3469 Issued in OK
Practice address
9100 N Garnett Rd
Suite I.
Owasso, OK 74055-4452
Phone
(918) 274-2911
Fax
(918) 274-2911
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3469 OK Primary

Addresses

Primary practice location

9100 N Garnett Rd
Suite I.
Owasso, OK 74055-4452

Mailing address

9100 N Garnett Rd
Suite I.
Owasso, OK 74055-4452
Phone (918) 274-2911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218000732 OK Practitioner - Chiropractic 0547497588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9100 N Garnett Rd
Suite I.
Owasso, OK 74055-4467
Phone (918) 274-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tera Egleston Chiropractic Clinic PC Chiropractor CurrentSince Jun 22, 2013 Accepting new patients

Locations

9100 N Garnett Rd
Ste I
Owasso, OK 74055
Phone (918) 274-2911

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669508529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 N GARNETT RD",
            "address_2": "SUITE I.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554452",
            "telephone_number": "918-274-2911",
            "fax_number": "918-274-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N GARNETT RD",
            "address_2": "SUITE I.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554452",
            "telephone_number": "918-274-2911",
            "fax_number": "918-274-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLESTON",
        "first_name": "TERA",
        "middle_name": "MARCHELLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.