David P Derosa, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001390 Issued in CT

Practice address

950 Yale Ave
Unit 32
Wallingford, CT 06492-1858

Phone

(203) 284-9200

NPI assigned

Mar 22, 2007

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Chiropractic Center LLC

  • Chiropractor
  • Wallingford, CT
  • NPI 1891922902
  Medicare reassignment NPD Authorized official
• Chiropractic Family Health Center of Manchester,LLC

  • Chiropractor
  • Manchester, CT
  • NPI 1255477220
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1689790115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT STE 4",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-284-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YALE AVE",
            "address_2": "UNIT 32",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921858",
            "telephone_number": "203-284-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mary Dempsey, APRN
• Daniel T. Dennehy, M.D.
• Dental Partners (Partners in Long Term Care)
• Nickolas Denuzzo, PT, DPT
• Dermatology Partners, PLLC (Partners in Long Term Care)
• Alexis Descoteaux
• Susan Harmon Devylder, RPT
• Todd Dewolf, LPC
• Holley Dey, M.D.
• Ajay Kumar Dhingra

• Chiropractor in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.