Jennifer Robin Degaray, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3794 Issued in NC

Practice address

6580 Old Monroe Rd Ste a
Indian Trail, NC 28079-5362

Phone

(704) 225-8686

Fax

(704) 225-9988

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Robin Tkachuk Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Integrative Chiropractic and Natural MedicineGroup PAC ID 6204082126, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Chiropractic and Natural Medicine

  • Chiropractor
  • Indian Trail, NC
  • NPI 1942560818
  Medicare reassignment Care Compare group NPD Authorized official
• Integrative Chiropractic of Matthews

  • Chiropractor
  • Matthews, NC
  • NPI 1164176699
  Medicare reassignment NPD Authorized official
• Integrative Chiropractic of Ballantyne PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1306678552
  NPD Authorized official
• Marco Chiropractic, PLLC

  • Preferred Provider Organization
  • Charlotte, NC
  • NPI 1093104044
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1295930238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 OLD MONROE RD STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795362",
            "telephone_number": "704-225-8686",
            "fax_number": "704-225-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 OLD MONROE RD STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795362",
            "telephone_number": "704-225-8686",
            "fax_number": "704-225-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGARAY",
        "first_name": "JENNIFER",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010911",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TKACHUK",
            "middle_name": "ROBIN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maitri Pareshkumar Dave, PT
• Edwina Annette Davies
• Holly Davis
• Gregory Cecil Deese
• Defi Trauma Therapy PLLC
• Terry Alvin Devine Jr., PHARMD.
• Milagros Diaz, D.D.S.
• Laura Digioia, PT
• Leshawn Wilson Dimery, LCSWA
• Din Lam DMD, MD, PLLC

• Chiropractor in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.