Organization Active NPI

Sandstone Chiropractic the Woodlands, PLLC

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1407371917
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SANDSTONE CHIROPRACTIC THE WOODLANDS, PLLC
Practice address
25144 Grogans Park Dr
The Woodlands, TX 77380-2167
Phone
(281) 367-5020
NPI assigned
Aug 4, 2017
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Dr. Tony Deramus, DCNPI 1750494985
Title
President
Phone
(713) 825-8670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

25144 Grogans Park Dr
The Woodlands, TX 77380-2167

Mailing address

1803 W White Oak Ter Ste B
Conroe, TX 77304-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171227001486 TX Part B Supplier - Clinic/Group Practice 9335407170 Receives reassigned benefits from 3 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

3466 Discovery Creek Blvd
Ste 300
Spring, TX 77386
Phone (281) 203-0070

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1407371917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W WHITE OAK TER STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25144 GROGANS PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802167",
            "telephone_number": "281-367-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE CHIROPRACTIC THE WOODLANDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "DERAMUS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-825-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.