Individual provider Active NPI

Terry Lee Harris, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1689600793
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2526 Issued in TX
Practice address
4054 McKinney Ave Ste 104
Dallas, TX 75204-8231
Phone
(214) 922-9220
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2526 TX Primary

Addresses

Primary practice location

4054 McKinney Ave Ste 104
Dallas, TX 75204-8231

Mailing address

4054 McKinney Ave Ste 104
Dallas, TX 75204-8231
Phone (214) 922-9220

Other identifiers 1

IdentifierTypeStateIssuer
600831OtherMEDICARE PTAN

Other names 1

  • Dr. Terry Lee Harris Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518001408 TX Practitioner - Chiropractic 7416948682 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3402 Oak Grove Ave
Dallas, TX 75204-2390
Phone (214) 922-9220

3402 Oak Grove Ave
Suite 304
Dallas, TX 75204-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1689600793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048231",
            "telephone_number": "214-922-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048231",
            "telephone_number": "214-922-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "600831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "HARRIS",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.