Derrick Ladeairous, DR.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013188 Issued in NY

Practice address

1732 W Genesee St
Syracuse, NY 13204

Phone

(631) 974-1849

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

No

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 VT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Darryl Lawrence Koch, D.C.

  • Chiropractor
  • Essex Junction, VT
  • NPI 1467419887
  Medicare reassignment

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1407327448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "631-974-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "631-974-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Greenwich Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872436",
            "country_code": "US",
            "telephone_number": "631-974-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Greenwich Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872436",
            "country_code": "US",
            "telephone_number": "631-974-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADEAIROUS",
        "first_name": "DERRICK",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1467755751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Lacombe, M.D.
• Kelsey Elise Lacourrege
• Rosalie Ann Lacourse, LMSW
• Barbara K Lacy, LMHC
• Lyndsey Courtney Ladd, FNP
• Stephen Ladenheim
• Cheryl Ann Ladouceur, RN
• Delanie Laface, LMHC
• Isabella Dominique Laface
• Megan Lafferty, MD

• Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.