Individual provider Active NPI

Diane L Dereu-Foley, D.C.

  • Chiropractor
  • Salem, VA
National Provider Identifier
1114070042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000904 Issued in VA
Practice address
708 S Colorado St
Salem, VA 24153-5163
Phone
(540) 389-2492
Fax
(540) 389-6958
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000904 VA Primary

Addresses

Primary practice location

708 S Colorado St
Salem, VA 24153-5163

Mailing address

708 S Colorado St
Salem, VA 24153-5163
Phone (540) 389-2492

Other identifiers 1

IdentifierTypeStateIssuer
178424OtherVAANTHEM PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000502 VA Practitioner - Chiropractic 5698807782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractors PCGroup PAC ID 0042342123, 2 clinicians

Practice addresses (Care Compare)

708 S Colorado St
Salem, VA 24153-5163
Phone (540) 389-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000904VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractors, PC Chiropractor CurrentSince Jul 1, 2010 Accepting new patients

Locations

708 S Colorado St
Salem, VA 24153
Phone (540) 389-2492

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114070042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S COLORADO ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535163",
            "telephone_number": "540-389-2492",
            "fax_number": "540-389-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S COLORADO ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535163",
            "telephone_number": "540-389-2492",
            "fax_number": "540-389-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREU-FOLEY",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "178424",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.