Individual provider Active NPI

Demeil Betoushana, D.C

  • Chiropractor
  • Turlock, CA
National Provider Identifier
1003898511
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26680 Issued in CA
Practice address
800 Wayside Dr
Turlock, CA 95380-2614
Phone
(209) 667-7333
Fax
(209) 667-7755
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 26680 CA Primary

Addresses

Primary practice location

800 Wayside Dr
Turlock, CA 95380-2614

Mailing address

800 Wayside Dr
Turlock, CA 95380-2614
Phone (209) 667-7333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000734 CA Practitioner - Chiropractic 8729971684 Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Wayside Dr
Turlock, CA 95380-2614
Phone (209) 667-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 26680CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1003898511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WAYSIDE DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802614",
            "telephone_number": "209-667-7333",
            "fax_number": "209-667-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WAYSIDE DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802614",
            "telephone_number": "209-667-7333",
            "fax_number": "209-667-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETOUSHANA",
        "first_name": "DEMEIL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.