Individual provider Active NPI

Dena Marie Terranova, DC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1770178725
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002985 Issued in WA
Practice address
601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone
(253) 396-1000
Fax
(253) 396-1012
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002985 WA Primary

Addresses

Primary practice location

601 S Pine St Ste 201
Tacoma, WA 98405-2795

Mailing address

601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

Other names 1

  • Dr. Dena Long Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011001362 WA Practitioner - Chiropractic 5890140875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment
Group practices
RCC PSGroup PAC ID 8022376920, 6 clinicians
Eyford Chiropractic PLLCGroup PAC ID 9931268356, 6 clinicians

Practice addresses (Care Compare)

4902 Tacoma Mall Blvd
Tacoma, WA 98409-7149
Phone (253) 473-0300

601 S Pine St
Suite 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002985WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Health Connection Chiropractor CurrentSince Aug 1, 2023 Accepting new patients
RCC PS Chiropractor CurrentSince Mar 2, 2024 Accepting new patients
E1Spine PLLC Chiropractor CurrentSince Mar 7, 2021 Accepting new patients

Locations

4902 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (253) 473-0300

601 S Pine St
Ste 201
Tacoma, WA 98405
Phone (253) 396-1000

Organizations & group practices 3

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1770178725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "LONG",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.