Individual provider Active NPI

Casen Ann Mary Demaria, D.C.

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1578835476
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4255 Issued in OH
Practice address
362 E Bridge St
Elyria, OH 44035-5223
Phone
(440) 323-3840
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4255 OH Primary

Addresses

Primary practice location

362 E Bridge St
Elyria, OH 44035-5223

Mailing address

2001 Crocker Rd
Ste 100
Westlake, OH 44145-6977
Phone (440) 823-4847

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4255OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1578835476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "STE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456977",
            "telephone_number": "440-823-4847",
            "fax_number": "440-323-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E BRIDGE ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355223",
            "telephone_number": "440-323-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "CASEN",
        "middle_name": "ANN MARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.