NPIMap

Individual provider Active NPI

Susan Demaille, D.C.

  • Chiropractor
  • Bethesda, MD
National Provider Identifier
1457387086
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01996 Issued in MD
Practice address
4825 Bethesda Ave
Suite 220
Bethesda, MD 20814-5245
Phone
(301) 841-0385
Fax
(202) 870-5795
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01996 MD Primary

Addresses

Primary practice location

4825 Bethesda Ave
Suite 220
Bethesda, MD 20814-5245

Mailing address

4825 Bethesda Ave
Suite 220
Bethesda, MD 20814-5245
Phone (301) 841-0385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Spring Ridge Chiropractic, LLC Chiropractor PastSince Sep 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1457387086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE",
            "address_2": "SUITE 220",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-841-0385",
            "fax_number": "202-870-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE",
            "address_2": "SUITE 220",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-841-0385",
            "fax_number": "202-870-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAILLE",
        "first_name": "SUSAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.