Individual provider Active NPI

Taneesha Susanne Juras, DC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1295540557
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15372 Issued in FL
Practice address
547 E New York Ave
Deland, FL 32724-6081
Phone
(386) 734-1404
Fax
(386) 308-4960
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15372 FL Primary

Addresses

Primary practice location

547 E New York Ave
Deland, FL 32724-6081

Mailing address

661 Vicksburg St
Deltona, FL 32725-2636
Phone (608) 576-8259

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
CH15372FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1295540557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 VICKSBURG ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252636",
            "telephone_number": "608-576-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327246081",
            "telephone_number": "386-734-1404",
            "fax_number": "386-308-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURAS",
        "first_name": "TANEESHA",
        "middle_name": "SUSANNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.