Individual provider Active NPI

Terrance Michael Eyerly, D.C.

  • Chiropractor
  • Hazleton, PA
National Provider Identifier
1669511952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 1499-L Issued in PA
Practice address
110 Butler Dr
Hazleton, PA 18201-7363
Phone
(570) 455-5822
Fax
(570) 455-5053
NPI assigned
Feb 5, 2007
Sex
Male
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 DC 1499-L PA Primary

Addresses

Primary practice location

110 Butler Dr
Hazleton, PA 18201-7363

Mailing address

110 Butler Dr
PO Box 2279
Hazleton, PA 18201-7363
Phone (570) 455-5822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000892 PA Practitioner - Chiropractic 9335131093 Reassigns benefits to 1 organization
Practice locations: Hazelton, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyerly Chiropractic Offices IncGroup PAC ID 9638359748, 3 clinicians

Practice addresses (Care Compare)

110 Butler Dr
Hazleton, PA 18201-7363
Phone (570) 455-5822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 1499-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyerly Chiropractic Offices Inc Chiropractor CurrentSince Jul 14, 2010 Accepting new patients

Locations

110 Butler Dr
Hazleton, PA 18201
Phone (570) 454-3558

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669511952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUTLER DR",
            "address_2": "PO BOX 2279",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017363",
            "telephone_number": "570-455-5822",
            "fax_number": "570-455-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUTLER DR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017363",
            "telephone_number": "570-455-5822",
            "fax_number": "570-455-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYERLY",
        "first_name": "TERRANCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 1499-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

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.