Organization Active NPI

Terri J Drury PC

Doing business as Elm View Chiropractic Clinic

  • Chiropractor
  • Clarkston, WA
National Provider Identifier
1942482518
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2693 Issued in WA
Legal business name
TERRI J DRURY PC
Doing business as
Elm View Chiropractic Clinic
Practice address
1303 6TH St
Clarkston, WA 99403-3317
Phone
(509) 758-0660
Fax
(509) 751-9214
NPI assigned
Dec 5, 2007
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Terri J Drury, DCNPI 1669540654
Title
President/Owner
Phone
(509) 758-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2693 WA Primary

Addresses

Primary practice location

1303 6TH St
Clarkston, WA 99403-3317

Mailing address

1303 6TH St
Clarkston, WA 99403-3317
Phone (509) 758-0660

Other identifiers 1

IdentifierTypeStateIssuer
2016624MedicaidWA

Other names 1

  • Elm View Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040830000646 WA Part B Supplier - Clinic/Group Practice 0840265260 Receives reassigned benefits from 1 practitioner
Practice locations: Clarkston, WA

National Provider Directory

National Provider Directory

Locations

1303 6th St
Clarkston, WA 99403
Phone (509) 758-0660

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1942482518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033317",
            "telephone_number": "509-758-0660",
            "fax_number": "509-751-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033317",
            "telephone_number": "509-758-0660",
            "fax_number": "509-751-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI J DRURY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "DRURY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "509-758-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016624",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm View Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.