Individual provider Active NPI

Teri L Adams, D.C.

  • Chiropractor
  • Baldwin, WI
National Provider Identifier
1770653602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2850 Issued in WI
Practice address
1640 Tenth Ave.
Baldwin, WI 54002-0002
Phone
(715) 684-3344
Fax
(715) 684-3345
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2850 WI Primary

Addresses

Primary practice location

1640 Tenth Ave.
Baldwin, WI 54002-0002

Mailing address

PO Box 2
Baldwin, WI 54002-0002
Phone (715) 684-3344

Other identifiers 1

IdentifierTypeStateIssuer
38864500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070608000031 WI Practitioner - Chiropractic 2062510852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1640 10TH Ave
Baldwin, WI 54002-9033
Phone (715) 684-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2850WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Chiropractic Health Center Chiropractor CurrentSince Feb 28, 2007 Accepting new patients
Baldwin Chiropractic Health Center Chiropractor Current Accepting new patients

Locations

1640 10th Ave
Baldwin, WI 54002
Phone (715) 684-3344

319 W Main St
Durand, WI 54736
Phone (715) 292-2951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770653602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540020002",
            "telephone_number": "715-684-3344",
            "fax_number": "715-684-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 TENTH AVE.",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540020002",
            "telephone_number": "715-684-3344",
            "fax_number": "715-684-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TERI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38864500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.