Demetrios J Athans, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7004 Issued in FL

Practice address

6402 E Fowler Ave
Temple Terrace, FL 33617-2404

Phone

(813) 994-2266

Fax

(813) 774-7827

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1497742993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 REGENTS PARK DR",
            "address_2": "SUITE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473433",
            "telephone_number": "813-994-2266",
            "fax_number": "813-774-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172404",
            "telephone_number": "813-994-2266",
            "fax_number": "813-774-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8909 Regents Park Dr",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473433",
            "country_code": "US",
            "telephone_number": "813-994-2266",
            "fax_number": "813-774-7827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHANS",
        "first_name": "DEMETRIOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Arterberry
• Artistic Smiles of Tampa Bay LLC
• Haney N Assaad, MD
• Lara Assaf
• Athans Chiropractic Inc
• Tej Kumar Atluri, MD
• David Auguste, DPM
• Riaz Hafiz Baba, MD
• Kayon Tameka Badley
• Govanni Ivan Baena

• All providers in Temple Terrace, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.