Jeremy Don De Los Santos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12401 Issued in TX

Practice address

807 Main St
Bastrop, TX 78602-3807

Phone

(512) 321-9200

Fax

(512) 321-9201

NPI assigned

Jul 10, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eisenbath Wellness Franchises LLC

  dba HealthSource of Harper's Preserve

  • Chiropractor
  • Conroe, TX
  • NPI 1033091335
  Medicare reassignment NPD
• Mix Family Chiropractic Inc

  dba adjust

  • Chiropractor
  • Bastrop, TX
  • NPI 1427182690
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1649611310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MAIN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023807",
            "telephone_number": "512-321-9200",
            "fax_number": "512-321-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MAIN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023807",
            "telephone_number": "512-321-9200",
            "fax_number": "512-321-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "JEREMY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat
• Mary Nancy Darden, MD
• Katherine L David
• Debra G Day, M ED
• Gabriela De Julian, M.S., CCC-LP
• Sarah De Los Santos, MA, LPC
• Alexandra C. De Millo Terrazzani, D.D.S.
• Dioscar J Delgado, PA-C
• Guadalupe Isela Delgado, RN
• Dellamy Sheryl Denton

• Chiropractor in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.

Verify at the official NPI Registry.