Active NPI
Derek St.Thomas, D.C., CERT MDT
- Chiropractor
- New York, NY
National Provider Identifier
1487186995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013024
- Practice address
- 228 W 71St St
New York, NY 10023-3730 - Phone
- (508) 280-0641
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33811 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | 33811 | CA | |
| Chiropractor | 111N00000X | X013024 | NY | Primary |
Addresses
Primary practice location
228 W 71St St
New York, NY 10023-3730
Mailing address
99 Wall St Ste 800
New York, NY 10005-4301
Phone (508) 280-0641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013024 | NY | MD | Chiropractor |
| 33811 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1487186995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WALL ST STE 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100054301",
"telephone_number": "508-280-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W 71ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233730",
"telephone_number": "508-280-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.THOMAS",
"first_name": "DEREK",
"name_prefix": "Dr.",
"credential": "D.C., CERT MDT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33811",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "33811",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X013024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- St.Luke's Roosevelt Hospital
- St.Lukes Roosevelt Hospital Center Childrens Blended Case Managemen
- St.Lukes-Roosevelt Hospital
- St.Lukes-Roosevelt Hospital Center (c/o outpatient pharmacy)
- Jenyca St.Surin
- St.Uke's - West Care Medical Associates
- Veronica Sta Ana
- Victor Francis Sta. Ana, MD
- Edward Lorenzo Sta. Maria, M.D.
- Josefina Mendoza Sta. Romana, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.