Mary Howland Derose, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7153 Issued in AZ

Practice address

2935 Southwest Dr
Sedona, AZ 86336-3797

Phone

(928) 203-4863

Fax

(928) 203-4497

NPI assigned

Feb 20, 2007

Sex

Female

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 AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedona Integrative Medical Clinic LLCGroup PAC ID 4486704913, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sedona Integrative Medical Clinic, LLC

  • Family Medicine Physician
  • Cottonwood, AZ
  • NPI 1932349867
  Medicare reassignment Care Compare group NPD
• Choices Integrative Health Care

  • Internal Medicine Physician
  • Sedona, AZ
  • NPI 1801836689
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1407991276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 SOUTHWEST DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363797",
            "telephone_number": "928-203-4863",
            "fax_number": "928-203-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 SOUTHWEST DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363797",
            "telephone_number": "928-203-4863",
            "fax_number": "928-203-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "MARY",
        "middle_name": "HOWLAND",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0934200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davis Physical Therapy LLC
• Amy Dawn Davis, PT, DPT
• Dawhawk Telemammography LLC
• Jean M Day, P.T.
• Cristina Delgado, B.S.ED, M.S. CCC-SLP
• Marian Sue Diamond, FNP
• Michael Dimarco II, D.C.
• Robert John Dorsey, RPH
• Patricia Maureen Dummigan White, MA
• Emily Brozyna Durfee, MA

• Chiropractor in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.