Teresa M Cordell, DC
Individual provider Active NPI Chiropractor · Lyons, KS
NPI 1972005494 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1972005494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05889 (KS)
- Practice address
- 108 W Commercial St
Lyons, KS 67554-2718 - Phone
- (620) 509-7977
- Fax
- (620) 904-0639
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cordell Chiropractic Clinic LLC
Practice addresses (Care Compare)
108 W Commercial St
Lyons, KS 67554-2718
Phone (620) 509-7977
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180306001299 | KS | Practitioner - Chiropractic | 3577824622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cordell Chiropractic Clinic LLC | Chiropractor | Current |
Accepting new patients |
Locations
108 W Commercial St
Lyons, KS 67554
Phone (620) 509-7977
400 W Main St
Lyons, KS 67554
Phone (620) 257-2040
330 S Broadway Ave
Sterling, KS 67579
Phone (620) 904-7409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05889 | KS | Yes |
Addresses
Primary practice location
108 W Commercial St
Lyons, KS 67554-2718
Mailing address
PO Box 235
Lyons, KS 67554-0235
Phone (620) 509-7977
Other practice location 1
330 S Broadway Ave
Sterling, KS 67579-2318
Phone (620) 904-7409
Other providers in Lyons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.