Dr Demetria Casady Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR DEMETRIA CASADY CHIROPRACTIC PC

Doing business as

Balance Life Chiropractic

Practice address

10801 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-7695

Phone

(909) 255-6200

NPI assigned

Nov 4, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Demetria Casady, DCNPI 1891773776

Title

Owner

Phone

(909) 255-6200

Specialties & licenses 1

Addresses

Other names 1

• Balance Life Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Demetria Casady, D.C.

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1891773776
  NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1255932356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307695",
            "telephone_number": "909-255-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307695",
            "telephone_number": "909-255-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DEMETRIA CASADY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "CASADY",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-255-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.