Individual provider Active NPI

Teresa M Cordell, DC

  • Chiropractor
  • Lyons, KS
National Provider Identifier
1972005494
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05889 Issued in KS
Practice address
108 W Commercial St
Lyons, KS 67554-2718
Phone
(620) 509-7977
Fax
(620) 904-0639
NPI assigned
Feb 28, 2018
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05889 KS Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306001299 KS Practitioner - Chiropractic 3577824622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4284978297, 2 clinicians

Practice addresses (Care Compare)

108 W Commercial St
Lyons, KS 67554-2718
Phone (620) 509-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05889KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cordell Chiropractic Clinic LLC Chiropractor CurrentSince Jun 1, 2018 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

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1972005494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675540235",
            "telephone_number": "620-509-7977",
            "fax_number": "620-904-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W COMMERCIAL ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675542718",
            "telephone_number": "620-509-7977",
            "fax_number": "620-904-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "KS",
            "postal_code": "675792318",
            "country_code": "US",
            "telephone_number": "620-904-7409",
            "fax_number": "620-904-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.