Individual provider Active NPI

Brendan Damian Delamere, D.C.

  • Chiropractor
  • Mahopac, NY
National Provider Identifier
1356347314
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009453-1 Issued in NY
Practice address
410 Route 6
Mahopac, NY 10541-1518
Phone
(845) 628-6000
Fax
(845) 621-2225
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009453-1 NY Primary

Addresses

Primary practice location

410 Route 6
Mahopac, NY 10541-1518

Mailing address

PO Box 758
Mahopac, NY 10541-0758
Phone (845) 628-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000460 NY Practitioner - Chiropractic 8729254248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Route 6
Mahopac, NY 10541-1518
Phone (845) 628-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009453-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delamere Chiropractic, P.C. Chiropractor CurrentSince Dec 21, 2001 Accepting new patients

Locations

410 Route 6
Mahopac, NY 10541
Phone (845) 628-6000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1356347314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105410758",
            "telephone_number": "845-628-6000",
            "fax_number": "845-621-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411518",
            "telephone_number": "845-628-6000",
            "fax_number": "845-621-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMERE",
        "first_name": "BRENDAN",
        "middle_name": "DAMIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009453-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.