Individual provider Active NPI

Terrell G Klema, DC

  • Chiropractor
  • Charlestown, NH
National Provider Identifier
1720129695
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5950200 Issued in NH
Practice address
296 Main St.
Charlestown, NH 03603-0077
Phone
(603) 826-5220
Fax
(603) 826-5220
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5950200 NH Primary

Addresses

Primary practice location

296 Main St.
Charlestown, NH 03603-0077

Mailing address

296 Main St., PO Box 77
Charlestown, NH 03603-0077
Phone (603) 826-5220

Other identifiers 1

IdentifierTypeStateIssuer
05Y004162NH01OtherNHBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000615 NH Practitioner - Chiropractic 2769631779 Practice locations: Charlestown, NH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

296 Main St
Charlestown, NH 03603-0077

PO Box
Suite 77
Charlestown, NH 03603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5950200NHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1720129695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MAIN ST., PO BOX 77",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030077",
            "telephone_number": "603-826-5220",
            "fax_number": "603-826-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MAIN ST.",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030077",
            "telephone_number": "603-826-5220",
            "fax_number": "603-826-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMA",
        "first_name": "TERRELL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "5950200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05Y004162NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.