Individual provider Active NPI

Terry Jo Nelson, D.C.

  • Internist Chiropractor
  • Kansas City, MO
National Provider Identifier
1720006950
Registry record updated Oct 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
5706 Issued in MO
Practice address
114 W Gregory Blvd
#4
Kansas City, MO 64114-1148
Phone
(913) 220-8584
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 5706 MO Primary
Internist Chiropractor 111NI0900X 01-03843 KS

Addresses

Primary practice location

114 W Gregory Blvd
#4
Kansas City, MO 64114-1148

Mailing address

8321 Jarboe St
Kansas City, MO 64114-2115
Phone (913) 220-8584

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

State licenses

LicenseStateTypeSpecialty
01-03843KSMDInternist Chiropractor
5706MOMDInternist Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413072000000",
    "number": "1720006950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 JARBOE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142115",
            "telephone_number": "913-220-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W GREGORY BLVD",
            "address_2": "#4",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141148",
            "telephone_number": "913-220-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TERRY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MO",
            "license": "5706",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-03843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.