Deric D'Agostino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8829 Issued in FL

Practice address

5913 Normandy Blvd Ste 13
Jacksonville, FL 32205-6269

Phone

(904) 786-2781

Fax

(904) 786-9954

NPI assigned

Jan 23, 2007

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River City Medical Associates IncGroup PAC ID 1850478819, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River City Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1649322215

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Absolute Imaging Network,LLC.

  • Radiologic Technologist
  • Jacksonville, FL
  • NPI 1972793289
  NPD (past)
• Arlington Chiropractic Clinic,Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1376694695
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508910506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 NORMANDY BLVD STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056269",
            "telephone_number": "904-786-2781",
            "fax_number": "904-786-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 NORMANDY BLVD STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056269",
            "telephone_number": "904-786-2781",
            "fax_number": "904-786-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "DERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D & B Transportation LLC
• D B Paths LLC
• D-Way Therapy Services Corp
• D.C. Deweese, P.a. (Northside Chiropractic)
• D.S.C. Support Services LLC
• Emma D'Agostino
• Tina Marie D'Alessandro, PH.D., PMHNP-BC
• Lanya D'Ambrosio
• Cara Marie D'Amico, C-PNP, ARNP
• Heather Ann D'Amico

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.