Devita Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEVITA CHIROPRACTIC LLC

Practice address

179 Great Rd Ste 107
Acton, MA 01720-5740

Phone

(978) 263-9336

Fax

(978) 264-4431

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jamal Devita, DCNPI 1972557288

Title

Owner

Phone

(978) 263-9336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Jamal Thomas De Vita, D.C.

  • Chiropractor
  • Acton, MA
  • NPI 1972557288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1124602271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 107",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-263-9336",
            "fax_number": "978-264-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 107",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-263-9336",
            "fax_number": "978-264-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVITA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "DEVITA",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-263-9336",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Jill Marie Defoe, LICSW
• Peter James Demartino, M.D.
• Derick E. Vergne MD, PLLC
• Derick E. Vergne, MD PLLC
• Raj Devarajan, MD
• Renee E Deyoe, MSW LICSW
• Barry Diamond, D.C.
• Deborah Diamond, D.C.
• Diana L. Villegas PH.D. Licsw
• Louisa Elizabeth Dichard, PMHCNS, BC

• Chiropractor in Acton, MA
• Providers in Acton, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.