Paul Gerald Demeritt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005020 Issued in MI

Practice address

2002 W M 21
Owosso, MI 48867-9318

Phone

(989) 725-5210

Fax

(989) 725-6937

NPI assigned

Nov 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1376617746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 W. M-21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-725-5210",
            "fax_number": "989-725-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W M 21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679318",
            "telephone_number": "989-725-5210",
            "fax_number": "989-725-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERITT",
        "first_name": "PAUL",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "005020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1634276",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Degarmo
• Aliesa Degeer
• Kimberly Ann Dekoski, MOT, OTR/L
• Amy Jean Delaney, NP
• Andrew Paul Demeritt, O.D.
• Rhyse Denton, LLMSW
• Dermatology & Cosmetic Center of Owosso PLLC
• Kevin Deyoung
• Caylyn Mae Dickenson
• Christian Dickenson

• Chiropractor in Owosso, MI
• Providers in Owosso, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.