Active NPI
Darryl Deal
- Massage Therapist
- Mishawaka, IN
National Provider Identifier
1497564512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195 - Phone
- (574) 318-7800
- Fax
- (574) 318-7839
- NPI assigned
- Jan 3, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195
Mailing address
229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195
Phone (574) 318-7800
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Joint Associates of Mishawaka, Inc | Current | Accepting new patients |
Locations
229 Red Coach Dr
Ste 106
Mishawaka, IN 46545
Phone (574) 318-7800
Organizations & group practices 1
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.
-
- Chiropractor
- Mishawaka, IN
- NPI 1609264795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1497564512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 RED COACH DR STE 106",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453195",
"telephone_number": "574-318-7800",
"fax_number": "574-318-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 RED COACH DR STE 106",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453195",
"telephone_number": "574-318-7800",
"fax_number": "574-318-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "DARRYL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.