Organization Active NPI

Sandstone Chiropractic Huntsville, PLLC

  • Chiropractor
  • Huntsville, TX
National Provider Identifier
1043081920
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SANDSTONE CHIROPRACTIC HUNTSVILLE, PLLC
Practice address
227 S.H. 75 N
135
Huntsville, TX 77320
Phone
(936) 253-5314
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Tony Deramus, DCNPI 1750494985
Title
President/Ceo
Phone
(936) 253-5314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

227 S.H. 75 N
135
Huntsville, TX 77320

Mailing address

1803 W White Oak Ter Ste a
Conroe, TX 77304-3675

Other names 1

  • Sandstone Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029004753 TX Part B Supplier - Clinic/Group Practice 0244763241 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, TX

National Provider Directory

National Provider Directory

Locations

227 State Highway 75 N
Ste 135
Huntsville, TX 77320
Phone (936) 253-5314

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1043081920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W WHITE OAK TER STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S.H. 75 N",
            "address_2": "135",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77320",
            "telephone_number": "936-253-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE CHIROPRACTIC HUNTSVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "DERAMUS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "936-253-5314",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandstone Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.