Active NPI
Derek D Stewart, DC
- Chiropractor
- Tampa, FL
National Provider Identifier
1366998304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11852
- Practice address
- 15049 Bruce B Downs Blvd
Tampa, FL 33647-1388 - Phone
- (937) 216-9048
- NPI assigned
- Aug 30, 2016
- Last updated
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 11852 | FL | Primary |
Addresses
Primary practice location
15049 Bruce B Downs Blvd
Tampa, FL 33647-1388
Mailing address
13810 Lazy Oak Dr
Tampa, FL 33613-4924
Phone (814) 673-1788
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 11852 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Inline, Inc | Current | Accepting new patients |
Locations
5411 Beaumont Center Blvd
Ste 785
Tampa, FL 33634
Phone (407) 900-7246
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": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1366998304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 LAZY OAK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134924",
"telephone_number": "814-673-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15049 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471388",
"telephone_number": "937-216-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DEREK",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 11852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.