Active NPI
Samantha Derilus, DC
- Chiropractor
- Lake Worth Beach, FL
National Provider Identifier
1699456913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14627
- Practice address
- 1715 N Dixie Hwy Unit 109
Lake Worth Beach, FL 33460-6560 - Phone
- (561) 597-3472
- NPI assigned
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH14627 | FL | Primary |
Addresses
Primary practice location
1715 N Dixie Hwy Unit 109
Lake Worth Beach, FL 33460-6560
Mailing address
1208 W 27TH St
Riviera Beach, FL 33404-4146
Phone (561) 597-3472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14627 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1699456913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 W 27TH ST",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334044146",
"telephone_number": "561-597-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N DIXIE HWY UNIT 109",
"city": "LAKE WORTH BEACH",
"state": "FL",
"postal_code": "334606560",
"telephone_number": "561-597-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERILUS",
"first_name": "SAMANTHA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.