Terry Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009211 Issued in MI

Practice address

717 W Washington St
Ste a
Marquette, MI 49855-4100

Phone

(906) 226-2666

Fax

(906) 226-5502

NPI assigned

Feb 20, 2007

Last updated

Mar 9, 2022By 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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Park Chiropractic, P.C.

  • Chiropractor
  • Marquette, MI
  • NPI 1659657302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1669517793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST",
            "address_2": "STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-226-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST",
            "address_2": "STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-226-2666",
            "fax_number": "906-226-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 W Washington St",
            "address_2": "Ste 101b",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554061",
            "country_code": "US",
            "telephone_number": "906-226-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Paquet, RN
• Parallel Home Care Services, Inc.
• Park Chiropractic, P.C.
• Minkyung Park
• Pierce C. Park, MD
• Susan Ann Parker, PT
• William Daryll Parkkonen, NP
• Kimberlee M Parks, P.A.
• Paula J Paszke, LPC
• Carla Pate

• Chiropractor in Marquette, MI
• Providers in Marquette, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.