Active NPI
Delia Demchak
- Adult Companion
- Palm Beach Gardens, FL
National Provider Identifier
1508490764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 235999
- Practice address
- 3507 Kyoto Gardens Dr Ste 110
Palm Beach Gardens, FL 33410-2799 - Phone
- (561) 931-1470
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 235999 | FL | |
| Adult Companion | 372600000X | 235999 | FL | Primary |
Addresses
Primary practice location
3507 Kyoto Gardens Dr Ste 110
Palm Beach Gardens, FL 33410-2799
Mailing address
3507 Kyoto Gardens Dr Ste 110
Palm Beach Gardens, FL 33410-2799
Phone (561) 931-1470
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235999 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1508490764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 KYOTO GARDENS DR STE 110",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102799",
"telephone_number": "561-931-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 KYOTO GARDENS DR STE 110",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102799",
"telephone_number": "561-931-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMCHAK",
"first_name": "DELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "235999",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "235999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.