Nicholas Desantis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104558048 Issued in VA

Practice address

6862 Elm St Ste 810
MC Lean, VA 22101-3868

Phone

(703) 994-4874

NPI assigned

Jan 17, 2025

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmercare Chiropractic McLean LLCGroup PAC ID 6002288610, 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 and National Provider Directory roles.

• Palmercare Chiropractic McLean LLC

  • Chiropractor
  • McLean, VA
  • NPI 1689188419

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1568273670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 810",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013868",
            "telephone_number": "703-994-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 810",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013868",
            "telephone_number": "703-994-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Der, OTS
• Derm Consults Online PC
• Dermatology Associates of McLean
• Michael Stuart Derose, D.C.
• Stacey Lynn Dershewitz, PSY.D.
• Revati Shashank Deshpande
• Maia Selena Deubert, PSY.D.
• William G. Deubert, PSY.D.
• Jeena Elizabeth Devasia, D.D.S.
• Joannie Ivette Deveaux

• 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 Jan 17, 2025; 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.