Deprey Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006235 Issued in FL

Legal business name

DEPREY CHIROPRACTIC PA

Practice address

2180 Aia So
Ste 100
St Augustine, FL 32080-6523

Phone

(904) 471-2225

Fax

(904) 471-6236

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Allen Melvin Deprey, DCNPI 1174701783

Title

Doctor of Chiropractic

Phone

(904) 471-2225

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

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

• Allen Melvin Deprey, DC

  • Chiropractor
  • St Augustine, FL
  • NPI 1174701783
  Medicare reassignment Authorized official
• Amanda Leigh Dale, LMT

  • Massage Therapist
  • St Augustine, FL
  • NPI 1831239805
  NPD (past)
• Nancy Kay Fergus, L.M.T

  • Massage Therapist
  • St Augustine, FL
  • NPI 1720129158
  NPD (past)
• Marisa Ball Isaac, D.P.T.

  • Physical Therapist
  • Saint Augustine Beach, FL
  • NPI 1750525234
  NPD (past)
• Neal A Isaac, DPT

  • Physical Therapist
  • Saint Augustine Beach, FL
  • NPI 1427316082
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1174592851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 AIA SO",
            "address_2": "STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "904-471-2225",
            "fax_number": "904-471-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 AIA SO",
            "address_2": "STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "904-471-2225",
            "fax_number": "904-471-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPREY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "DEPREY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "904-471-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350037467",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Forrest Dement, LCSW
• Russell Denea, MD
• Sara Marie Ocampo Denslow, APRN
• James Gregory Dent, MD
• Dentalfl 1 Dba My Harmony Dentistry
• Allen Melvin Deprey, DC
• Marilyn Deprey, LMHC
• Yvonne Derickson, ARNP, FNP-BC
• Jennifer Lyn Desai, MS
• Morgan Desai

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.