Individual provider Active NPI

Terry Quan, D.C.

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1821153875
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7216 Issued in FL
Practice address
601 W Indiantown Rd
Suite #2
Jupiter, FL 33458-7525
Phone
(561) 748-2273
Fax
(561) 748-4856
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7216 FL Primary

Addresses

Primary practice location

601 W Indiantown Rd
Suite #2
Jupiter, FL 33458-7525

Mailing address

601 W Indiantown Rd
Suite #2
Jupiter, FL 33458-7525
Phone (561) 748-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000297 FL Practitioner - Chiropractic 1658434048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

654 W Indiantown Rd
Suite 107
Jupiter, FL 33458-7546
Phone (561) 748-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Auto Injury and Pain Center P L CurrentSince Nov 28, 2008 Accepting new patients
Sports and Spine Injury Center PA Chiropractor PastSince Aug 28, 2014 Accepting new patients

Locations

601 W Indiantown Rd
Ste 2
Jupiter, FL 33458
Phone (561) 748-2273

654 W Indiantown Rd
Ste 107
Jupiter, FL 33458
Phone (561) 745-1002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1821153875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W INDIANTOWN RD",
            "address_2": "SUITE #2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587525",
            "telephone_number": "561-748-2273",
            "fax_number": "561-748-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W INDIANTOWN RD",
            "address_2": "SUITE #2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587525",
            "telephone_number": "561-748-2273",
            "fax_number": "561-748-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "TERRY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.