Deters Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20569 Issued in CA

Legal business name

DETERS CHIROPRACTIC CORP

Practice address

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

Phone

(619) 681-1919

Fax

(619) 681-1922

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Leroy Deters III, D.C.

Title

President

Phone

(619) 681-1919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Shpigel, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1730468224
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1679790653",
    "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": {
        "organization_name": "DETERS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DETERS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-681-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Medical Supplies
• Latoya Desue, LMFT
• Ajai Scott Desulme
• Tia Rachael Deswert
• Detention'S Facility Pharmacy
• Raymond Leroy Deters III, D.C.
• Cassandra Detgen
• Crystal Faith Dethlefs
• Alexis Ann Detki
• Niko Sadat Detra, DACM., L.AC.

• 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 13, 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.