John Ashley Deese, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2915 Issued in NC

Practice address

812 Candy Park Rd
Suite 6103
Pembroke, NC 28372-9129

Phone

(910) 521-3093

Fax

(910) 521-3095

NPI assigned

May 3, 2006

Last updated

Oct 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deese and Locklear Chiropractic Center PLLCGroup PAC ID 8729158605, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deese & Locklear Chiropractic Center, PLLC

  • Chiropractor
  • Pembroke, NC
  • NPI 1366635989
  Medicare reassignment Care Compare group NPD
• Deese & Locklear Chiropractic Center

  • Chiropractor
  • Pembroke, NC
  • NPI 1699956409
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1093773749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2219",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722219",
            "telephone_number": "910-521-3093",
            "fax_number": "910-521-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD",
            "address_2": "SUITE 6103",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729129",
            "telephone_number": "910-521-3093",
            "fax_number": "910-521-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESE",
        "first_name": "JOHN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUS SHIELD #",
            "identifier": "08498",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908498",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054681",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Elizabeth Dawson, M.S., CF-SLP
• Deese & Locklear Chiropractic Center
• Deese & Locklear Chiropractic Center, PLLC
• Christina Dale Deese
• Holly Deese
• Tara Deese, SLP
• Yanira Delao
• Kaniyah Dhliwayo
• Cynthia Sueann Dial
• Faline Dial, MS, SLP

• Chiropractor in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.