Destro Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DESTRO CHIROPRACTIC

Practice address

11936A Centre St
Chester, VA 23831-1701

Phone

(804) 748-4800

NPI assigned

Jun 26, 2015

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jared J Destro, D.C.NPI 1568732360

Title

Chiropractor

Phone

(804) 748-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared J Destro, DC, ATC

  • Chiropractor
  • Midlothian, VA
  • NPI 1568732360
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1699157578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936A CENTRE ST",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311701",
            "telephone_number": "804-748-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936A CENTRE ST",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311701",
            "telephone_number": "804-748-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTRO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "DESTRO",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "804-748-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delightsome Place Family Services LLC
• Kathleen M. Delucia
• Shanta Denard Clay
• Angela Dent, LPN
• Chandni Desai, DDS
• Juan Jose Diaz, PT
• Diligent Medical (Edge Enterprises)
• Amy Willingham Dodd, MSPT, ATC
• Paiten Ashlyn Dodd
• Dodsons Residential Services LLC

• Chiropractor in Chester, VA
• Providers in Chester, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.