Thomas Joseph Dericks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1999 Issued in LA

Practice address

7015 Highway 190 East Service Rd Ste 201
Covington, LA 70433-4960

Phone

(985) 893-2223

NPI assigned

Jun 18, 2024

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Medical Services Ham, LLC

  • General Practice Physician
  • Hammond, LA
  • NPI 1619242575
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1295578144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PINEY RIDGE CIR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473100",
            "telephone_number": "985-705-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 HIGHWAY 190 EAST SERVICE RD STE 201",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334960",
            "telephone_number": "985-893-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Minnesota Park Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704036149",
            "country_code": "US",
            "telephone_number": "985-350-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERICKS",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Deluca Glahn, DPT
• Margo Demma
• Kelly Dennis, BCBA, LBA
• Department of Health and Hospitals
• Pamela Derbins, MSN FNP
• Loralyn Deroche, M.S., CCC-SLP
• Jay Fisher Desalvo, MD
• Madison Desrochers
• Devereux and Nguyen LLC
• Timothy Devraj, MD

• Chiropractor in Covington, LA
• Providers in Covington, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.