Organization Active NPI

Demetria Solstice Chiropractic Corporation

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1124185764
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 27728 Issued in CA
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

Updated by the provider on Jul 11, 2024

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
222641882OtherCABLUE SHIELD
2341236OtherCAUNITED HEALTHCARE

Other names 1

  • Balanced Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.