Active NPI
Christopher J Devens, D.C.
- Nutrition Chiropractor
- Willoughby, OH
National Provider Identifier
1003002098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 3808
- Practice address
- 35104 Euclid Ave
Willoughby, OH 44094-4516 - Phone
- (440) 867-5102
- Fax
- (866) 659-8883
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10654 | TX | |
| Nutrition Chiropractor | 111NN1001X | 3808 | OH | Primary |
Addresses
Primary practice location
35104 Euclid Ave
Willoughby, OH 44094-4516
Mailing address
35104 Euclid Ave
Willoughby, OH 44094-4516
Phone (440) 867-5102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3808 | OH | MD | Nutrition Chiropractor |
| 10654 | TX | MD | General Practice Dentistry |
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 and National Provider Directory roles.
-
- Nutrition Chiropractor
- Willoughby, OH
- NPI 1740823269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1003002098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35104 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944516",
"telephone_number": "440-867-5102",
"fax_number": "866-659-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35104 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944516",
"telephone_number": "440-867-5102",
"fax_number": "866-659-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVENS",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10654",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OH",
"license": "3808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.