Active NPI
David McDougald Terry, M.D.
- Psychiatry Physician
- Kansas City, MO
National Provider Identifier
1861556292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2006017177
- Practice address
- 300 W 19TH Ter
Kansas City, MO 64108-2026 - Phone
- (816) 404-5961
- NPI assigned
- Dec 20, 2006
- Last updated
- Oct 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2006017177 | MO | Primary |
Addresses
Primary practice location
300 W 19TH Ter
Kansas City, MO 64108-2026
Mailing address
3601 Belleview Ave
Kansas City, MO 64111-3807
Phone (816) 401-8290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1861556292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 BELLEVIEW AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113807",
"telephone_number": "816-401-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 19TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082026",
"telephone_number": "816-404-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "DAVID",
"middle_name": "MCDOUGALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2006017177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.