Individual provider Active NPI

John Victor Demaio, D,C,

  • Nutrition Chiropractor
  • Gambrills, MD
National Provider Identifier
1356486450
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
S01522 Issued in MD
Practice address
2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985
Phone
(410) 721-2222
Fax
(410) 721-2437
NPI assigned
Feb 20, 2007
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01522 MD
Nutrition Chiropractor 111NN1001X S01522 MD Primary

Addresses

Primary practice location

2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985

Mailing address

2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985
Phone (410) 721-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL demaiochiro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000617 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9133154248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1413 Annapolis Rd
Odenton, MD 21113-1216
Phone (410) 672-2437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S01522MDMDNutrition Chiropractor
1522MDMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: ademaio@dfc0008.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1356486450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BRANDERMILL BLVD STE 105",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541985",
            "telephone_number": "410-721-2222",
            "fax_number": "410-721-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BRANDERMILL BLVD STE 105",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541985",
            "telephone_number": "410-721-2222",
            "fax_number": "410-721-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAIO",
        "first_name": "JOHN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D,C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01522",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MD",
            "license": "S01522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "demaiochiro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2391 Brandermill Blvd Ste 105",
            "city": "Gambrills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210541985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.