Raymond Leroy Deters III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20569 Issued in CA

Practice address

2535 Camino del Rio S
Suite 225
San Diego, CA 92108-3754

Phone

(619) 681-1919

Fax

(619) 681-1922

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1639353014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "SUITE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083754",
            "telephone_number": "619-681-1919",
            "fax_number": "619-681-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "SUITE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083754",
            "telephone_number": "619-681-1919",
            "fax_number": "619-681-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERS",
        "first_name": "RAYMOND",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Desue, LMFT
• Ajai Scott Desulme
• Tia Rachael Deswert
• Detention's Facility Pharmacy
• Deters Chiropractic Corp
• Cassandra Detgen
• Crystal Faith Dethlefs
• Alexis Ann Detki
• Niko Sadat Detra, DACM., L.AC.
• Alex John Deturck

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.