Joseph Paulson Demosthene, MS, ATC,EMT-B, CPT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

655 Craig Rd Ste 160
Creve Coeur, MO 63141-7173

Phone

(561) 317-3431

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1285089607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 160",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417173",
            "telephone_number": "561-317-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 160",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417173",
            "telephone_number": "561-317-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSTHENE",
        "first_name": "JOSEPH",
        "middle_name": "PAULSON",
        "credential": "MS, ATC,EMT-B,  CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Geer Health & Wellness, LLC
• Kourtney Dean, CCC-SLP
• Cindy Decker, LHIS
• Delmar Gardens of Creve Coeur Operating, LLC
• Delta Spinal Rehab P.C.
• Dental Professionals, Richard Straus, D.M.D., P.C.
• Rohan Devanpalli-Ramaya, M.D
• Rupinderjit Singh Dhillon, MD
• Maria Dietrich, M.S. CCC-SLP
• Peyton Gabriel Dietz

• Athletic Trainer in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.