Jennifer L Deluca-Stafford, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3282 Issued in NC

Practice address

6934 Beach Dr SW
Ste 2
Ocean Isle Beach, NC 28469-5797

Phone

(910) 575-2225

Fax

(910) 575-2275

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TN PPO

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.

• By the Beach Chiropractic Health Center P. C.

  • Chiropractor
  • Ocean Isle Beach, NC
  • NPI 1710528245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1013340272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 BEACH DR SW",
            "address_2": "STE 2",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695797",
            "telephone_number": "910-575-2225",
            "fax_number": "910-575-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 BEACH DR SW",
            "address_2": "STE 2",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695797",
            "telephone_number": "910-575-2225",
            "fax_number": "910-575-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA-STAFFORD",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICESE NUMBER NC",
            "identifier": "3282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Breeze Chiropractic
• Coastal Primary Care and Wellness, PLLC
• Crista Colaneri, ATC
• Columbus Regional Health Network
• Nicole Cumbee, DPT
• Anjani Di Bello
• Eric Divenanzo, PHARMD
• Russell D Edgar, D.C.
• Evolve Behavior Therapy LLC
• Abigail Elaine Gruneisen, DDS

• Chiropractor in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.