Active NPI
Robert Alan Demetree, D.C
- Chiropractor
- Altamonte Springs, FL
National Provider Identifier
1619990256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 7293
- Practice address
- 797 N State Road 434
Altamonte Springs, FL 32714-7233 - Phone
- (407) 862-7272
- Fax
- (407) 682-6444
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 7293 | FL | Primary |
Addresses
Primary practice location
797 N State Road 434
Altamonte Springs, FL 32714-7233
Mailing address
797 N State Road 434
Altamonte Springs, FL 32714-7233
Phone (407) 862-7272
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 7293 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare, Inc. | Current | Accepting new patients | |
| Robert a Demetree DC, Inc | Chiropractor | Current | Accepting new patients |
Locations
797 N State Road 434
Altamonte Springs, FL 32714
Phone (407) 862-7272
Organizations & group practices 2
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.
-
- General Practice Physician
- Altamonte Springs, FL
- NPI 1770830630
-
dba Altamonte Chiropractic Medicine
- Chiropractor
- Altamonte Springs, FL
- NPI 1972054625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1619990256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 N STATE ROAD 434",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147233",
"telephone_number": "407-862-7272",
"fax_number": "407-682-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 N STATE ROAD 434",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147233",
"telephone_number": "407-862-7272",
"fax_number": "407-682-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMETREE",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 7293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.