Active NPI
Jennifer Chelsie Demaio, DC
- Chiropractor
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12597
- Practice address
- 4550 Clyde Morris Blvd
Ste D
Port Orange, FL 32129-4080 - Phone
- (941) 504-2257
- NPI assigned
- Sep 28, 2018
- Last updated
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | CH12597 | FL | Primary |
Addresses
Primary practice location
4550 Clyde Morris Blvd
Ste D
Port Orange, FL 32129-4080
Mailing address
4550 Clyde Morris Blvd
Ste D
Port Orange, FL 32129-4080
Phone (941) 504-2257
Other practice location 1
4550 Clyde Morris Blvd
Ste D
Port Orange, FL 32129-4080
Phone (941) 504-2257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4550 Clyde Morris Blvd
Suite D
Port Orange, FL 32129-4080
Phone (386) 238-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal City Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
4550 Clyde Morris Blvd
Ste D
Port Orange, FL 32129
Phone (386) 238-9355
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Port Orange, FL
- NPI 1871069732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1639654387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 CLYDE MORRIS BLVD",
"address_2": "STE D",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294080",
"telephone_number": "941-504-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 CLYDE MORRIS BLVD",
"address_2": "STE D",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294080",
"telephone_number": "941-504-2257"
}
],
"practiceLocations": [
{
"address_1": "4550 CLYDE MORRIS BLVD",
"address_2": "STE D",
"address_purpose": "LOCATION",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294080",
"country_code": "US",
"telephone_number": "941-504-2257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMAIO",
"first_name": "JENNIFER",
"middle_name": "CHELSIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.