Active NPI
Terry Hope Eagle, DC
- Chiropractor
- New Hyde Park, NY
National Provider Identifier
1972542728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002424
- Practice address
- 3 Delaware Dr
New Hyde Park, NY 11042-1116 - Phone
- (516) 608-2880
- Fax
- (516) 608-6887
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X002424 | NY | Primary |
Addresses
Primary practice location
3 Delaware Dr
New Hyde Park, NY 11042-1116
Mailing address
3 Delaware Dr
New Hyde Park, NY 11042-1116
Phone (516) 608-2880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE1459 | Other | NY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002424 | NY | MD | Chiropractor |
| 002424 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Urgent Care, PLLC | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1972542728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DELAWARE DR",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421116",
"telephone_number": "516-608-2880",
"fax_number": "516-608-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DELAWARE DR",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421116",
"telephone_number": "516-608-2880",
"fax_number": "516-608-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLE",
"first_name": "TERRY",
"middle_name": "HOPE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE1459",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.