Demetris Pierson

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK296676 Issued in CA

Practice address

24251 Town Center Drive 175
Studio 217
Valencia, CA 91355-9135

Phone

(661) 305-2668

NPI assigned

Jan 24, 2021

Sex

Female

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

State licenses

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1285224246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24144 NEWHALL RANCH RD APT 1301",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555181",
            "telephone_number": "661-305-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24251 TOWN CENTER DRIVE 175",
            "address_2": "STUDIO 217",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559135",
            "telephone_number": "661-305-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "DEMETRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK296676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn T Phillips, M.D
• Kierstin Phillips
• John Bartholomew Pick, DMD
• Michelle Pierce
• Schancelecia Pierre
• Tobe Adonna Pilato
• Krystyna Izabella Pilecki, MD
• Michael Pin, MD
• Anai Pineda
• Marvin Pineda

• Prosthetics Case Management in Valencia, CA
• Providers in Valencia, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.