Demetree Chiropractic Group, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH6994 Issued in FL

Legal business name

DEMETREE CHIROPRACTIC GROUP, INC.

Practice address

1750 W Broadway St
Ste# 108
Oviedo, FL 32765-9618

Phone

(407) 977-7233

Fax

(407) 359-6822

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David A Demetree, D.C.NPI 1295832806

Title

President

Phone

(407) 977-7233

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Arthur Demetree Jr., DC

  • Chiropractor
  • Oviedo, FL
  • NPI 1295832806
  Medicare reassignment NPD Authorized official
• Sharon Kay Hieronimus, L.M.T.

  • Massage Therapist
  • Oviedo, FL
  • NPI 1861632366
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1386923282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W BROADWAY ST",
            "address_2": "STE# 108",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659618",
            "telephone_number": "407-977-7233",
            "fax_number": "407-359-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W BROADWAY ST",
            "address_2": "STE# 108",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659618",
            "telephone_number": "407-977-7233",
            "fax_number": "407-359-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETREE CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "DEMETREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-7233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH6994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-0922600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delavina Services LLC
• Natali Delgado, ARNP
• Tara Delgado
• Jo-Anne Delisser-Taub, MA, SLP
• Ann Delman, DMD
• David Arthur Demetree Jr., DC
• Simone B Demiar
• Toni Rose Derequito, OTR
• Dermatology and Skin Cancer Surgery Center, LLC
• Dermatology and Skin Cancer Surgery Center, LLC

• Clinic/Center in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.