Individual provider Active NPI

Joel Erron Terry, D.C.

  • Chiropractor
  • Platte City, MO
National Provider Identifier
1790934065
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5209 Issued in KS
Practice address
1401 Branch St Ste B
Platte City, MO 64079-8386
Phone
(816) 858-6006
Fax
(816) 858-6006
NPI assigned
Sep 11, 2008
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5209 KS Primary

Addresses

Primary practice location

1401 Branch St Ste B
Platte City, MO 64079-8386

Mailing address

1401 Branch St Ste B
Platte City, MO 64079-8386
Phone (816) 858-6006

Other practice location 1

12402 W 62nd Ter
Shawnee, KS 66216-1810
Phone (913) 766-9266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000884 MO Practitioner - Chiropractic 2062570047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Branch St
Suite B
Platte City, MO 64079-8386
Phone (816) 858-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jet Chiropractic LLC CurrentSince May 28, 2025 Accepting new patients
PC Muscle and Joint LLC CurrentSince Jun 8, 2025 Accepting new patients
Jet Performance Chiropractic, PA Chiropractor Past Accepting new patients

Locations

1401 Branch St
#B
Platte City, MO 64079
Phone (816) 858-6006

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, 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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1790934065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BRANCH ST STE B",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798386",
            "telephone_number": "816-858-6006",
            "fax_number": "816-858-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRANCH ST STE B",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798386",
            "telephone_number": "816-858-6006",
            "fax_number": "816-858-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12402 W 62nd Ter",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662161810",
            "country_code": "US",
            "telephone_number": "913-766-9266",
            "fax_number": "913-766-9265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOEL",
        "middle_name": "ERRON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.