Terrell Chiropractic and Wellness Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TERRELL CHIROPRACTIC AND WELLNESS CENTER, INC

Practice address

1409 W Moore Ave
Terrell, TX 75160-2303

Phone

(972) 563-1557

NPI assigned

Oct 8, 2018

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corina McClary Wild, DCNPI 1982187381

Title

Ciropractor/Owner

Phone

(214) 789-0549

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corina McClary Wild, D.C.

  • Chiropractor
  • Royse City, TX
  • NPI 1982187381
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1841765773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-563-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-563-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL CHIROPRACTIC AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "CORINA",
        "authorized_official_middle_name": "MCCLARY",
        "authorized_official_title_or_position": "CIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "214-789-0549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1982187381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raksa Taing, PHARMD
• Jonah Taylor
• Uavette Cheyrise Taylor
• TBHL Inc (American Home Care)
• Sherry Lynette Tenison, WHNP
• Terrell Chiropractic Spine & Injury Clinic
• Terrell Dialysis Center, LLC (FMC Dialysis Services Terrell)
• Terrell Drug Stores Inc (Terrell Pharmacy)
• Terrell Emergency Physicians, PLLC
• Terrell Eye Associates PLLC

• Chiropractor in Terrell, TX
• Providers in Terrell, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.