Individual provider Active NPI

Dean Raymond Gerimonte II, D.C.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1205186277
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00003662 Issued in WA
Practice address
11319 122ND St E
Puyallup, WA 98374-2819
Phone
(253) 273-0624
NPI assigned
Sep 17, 2012
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00003662 WA Primary

Addresses

Primary practice location

11319 122ND St E
Puyallup, WA 98374-2819

Mailing address

11319 122ND St E
Puyallup, WA 98374-2819
Phone (253) 273-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00003662WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1205186277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 122ND ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742819",
            "telephone_number": "253-273-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 122ND ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742819",
            "telephone_number": "253-273-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIMONTE",
        "first_name": "DEAN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00003662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.