Individual provider Active NPI

John Phillip Terlep, D.C.

  • Chiropractor
  • Crystal Lake, IL
National Provider Identifier
1881917623
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007300 Issued in IL
Practice address
8600 US Highway 14
Suite 140
Crystal Lake, IL 60012-2706
Phone
(815) 922-2654
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007300 IL Primary

Addresses

Primary practice location

8600 US Highway 14
Suite 140
Crystal Lake, IL 60012-2706

Mailing address

8600 US Highway 14
Suite 140
Crystal Lake, IL 60012-2706
Phone (815) 922-2654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001342 IL Practitioner - Chiropractic 8820282262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8600 US Hwy 14
Suite 140
Crystal Lake, IL 60012-2700
Phone (815) 477-7939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007300ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Terlep Chiropractic Center, S.C. Chiropractor CurrentSince Apr 7, 2010 Accepting new patients

Locations

8600 US Highway 14
Ste 140
Crystal Lake, IL 60012
Phone (815) 477-7939

Organizations & group practices 1

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1881917623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 140",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122706",
            "telephone_number": "815-922-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 140",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122706",
            "telephone_number": "815-922-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLEP",
        "first_name": "JOHN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.