Terri D Bonner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005873 Issued in FL

Practice address

100 Village Square Xing Ste 207
Palm Beach Gardens, FL 33410-4531

Phone

(561) 627-8464

Fax

(561) 775-5655

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Destiny Chiropractic, LLC

  • Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1649585886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1871795005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 BERMUDA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334102421",
            "telephone_number": "561-627-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104531",
            "telephone_number": "561-627-8464",
            "fax_number": "561-775-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "TERRI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Nicole Bojan, MSOTR/L
• Susan Boklaga, LMHC, LLP
• Lauren Bologna
• Justin Michael Bommarito
• Brittany Bonanno
• Jeremy Bonta, LMHC
• Ashley Bonvento, DPT
• Karmen Booker, BA PSYCHOLOGY
• Lealoni Booth, LMT
• Michael Ted Borenstein, MD PHD

• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.