Individual provider Active NPI

Landon Demoss, DC

  • Chiropractor
  • Lima, OH
National Provider Identifier
1659024883
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05157 Issued in OH
Practice address
288 Professional PL
Lima, OH 45807-3202
Phone
(419) 224-5678
Fax
(419) 221-3340
NPI assigned
Jan 28, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05157 OH Primary

Addresses

Primary practice location

288 Professional PL
Lima, OH 45807-3202

Mailing address

288 Professional PL
Lima, OH 45807-3202
Phone (419) 224-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228002582 OH Practitioner - Chiropractic 8022402478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S.G. Rabe, D.C. and Associates, Inc.Group PAC ID 1759377906, 4 clinicians

Practice addresses (Care Compare)

288 Professional PL
Lima, OH 45807-3202
Phone (419) 224-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S.G. Rabe, D.C. and Associates, Inc. Chiropractor CurrentSince Jan 27, 2022 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients

Locations

288 Professional Pl
Lima, OH 45807
Phone (419) 221-3340

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, 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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1659024883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PROFESSIONAL PL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073202",
            "telephone_number": "419-224-5678",
            "fax_number": "419-221-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 PROFESSIONAL PL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073202",
            "telephone_number": "419-224-5678",
            "fax_number": "419-221-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "LANDON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.