Michael Stuart Derose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001434 Issued in VA

Practice address

1360 Beverly Rd
Suite 102
McLean, VA 22101-3643

Phone

(703) 893-6388

Fax

(703) 893-0770

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonhealth Chiropractic, PCGroup PAC ID 0042281057, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commonhealth Chiropractic, PC

  • Chiropractor
  • McLean, VA
  • NPI 1518071992

  DC

  Medicare reassignment Care Compare group NPD
• Nuweights

  dba Washington Nutrition Group

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1720355241
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558380451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BEVERLY RD",
            "address_2": "SUITE 102",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013643",
            "telephone_number": "703-893-6388",
            "fax_number": "703-893-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BEVERLY RD",
            "address_2": "SUITE 102",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013643",
            "telephone_number": "703-893-6388",
            "fax_number": "703-893-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "MICHAEL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentalia PLLC
• Jeremiah J Depue, M.D.
• Stephanie Der, OTS
• Derm Consults Online PC
• Dermatology Associates of McLean
• Stacey Lynn Dershewitz, PSY.D.
• Nicholas Desantis, DC
• Revati Shashank Deshpande
• Maia Selena Deubert, PSY.D.
• William G. Deubert, PSY.D.

• Chiropractor in McLean, VA
• Providers in McLean, VA by specialty
• Chiropractor in Virginia

• 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.