Active NPI
Demetria Solstice Chiropractic Corporation
- Chiropractor
- Rancho Cucamonga, CA
National Provider Identifier
1124185764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 27728
- Legal business name
- DEMETRIA SOLSTICE CHIROPRACTIC CORPORATION
- Practice address
- 7365 Camelian St Ste 114
Rancho Cucamonga, CA 91730 - Phone
- (909) 351-5591
- Fax
- (909) 581-3057
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Demetria Nicole Casady, DC
- Title
- President
- Phone
- (909) 351-5591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 27728 | CA | Primary |
Addresses
Primary practice location
7365 Camelian St Ste 114
Rancho Cucamonga, CA 91730
Mailing address
7365 Camelian St Ste 114
Rancho Cucamonga, CA 91730
Phone (909) 351-5591
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222641882 | Other | CA | BLUE SHIELD |
| 2341236 | Other | CA | UNITED HEALTHCARE |
Other names 1
- Balanced Life Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1124185764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7365 CAMELIAN ST STE 114",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-351-5591",
"fax_number": "909-581-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 CAMELIAN ST STE 114",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-351-5591",
"fax_number": "909-581-3057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMETRIA SOLSTICE CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2024-07-11",
"status": "A",
"authorized_official_last_name": "CASADY",
"authorized_official_first_name": "DEMETRIA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-351-5591",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 27728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "222641882",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2341236",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Life Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.