Individual provider Active NPI

Joseph W Democko, DC

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1649241209
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2077 Issued in NC
Practice address
1802 E Ash St
Goldsboro, NC 27530-4045
Phone
(919) 735-2205
Fax
(919) 735-2045
NPI assigned
Jan 31, 2006
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2077 NC Primary

Addresses

Primary practice location

1802 E Ash St
Goldsboro, NC 27530-4045

Mailing address

1802 E Ash St
Goldsboro, NC 27530-4045
Phone (919) 735-2205

Other practice location 1

997 Henderson St Ste E
Mount Olive, NC 28365-7193
Phone (919) 299-8033

Other identifiers 1

IdentifierTypeStateIssuer
890833AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000370 NC Practitioner - Chiropractic 2264517531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Democko Chiropractic PLLCGroup PAC ID 8426133794, 3 clinicians

Practice addresses (Care Compare)

1802 E Ash St
Goldsboro, NC 27530-4045
Phone (919) 735-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2077NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Democko Chiropractic PLLC Chiropractor CurrentSince May 5, 1999 Accepting new patients
Bsdnb Chiropractic PLLC Chiropractor CurrentSince Feb 9, 2026 Accepting new patients
Jacksonville Chiropractic & Wellness Chiropractor PastSince May 15, 2010 Accepting new patients
Dehammer Chiropractor PastSince Aug 20, 2012 Accepting new patients

Locations

1802 E Ash St
Goldsboro, NC 27530
Phone (919) 735-2205

3280 Wellons Blvd
New Bern, NC 28562
Phone (252) 669-0009

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health WayneGoldsboro, NC, CCN 340010 Hospital Corporate Director Jan 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1649241209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304045",
            "telephone_number": "919-735-2205",
            "fax_number": "919-735-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304045",
            "telephone_number": "919-735-2205",
            "fax_number": "919-735-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "997 Henderson St Ste E",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "NC",
            "postal_code": "283657193",
            "country_code": "US",
            "telephone_number": "919-299-8033",
            "fax_number": "919-299-8072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOCKO",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890833A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.