Active NPI
Clinton Demaris, D.C.
- Chiropractor
- Cedar Park, TX
National Provider Identifier
1699954677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12165
- Practice address
- 1464 East Whitestone Blvd
Building 1
Cedar Park, TX 78613 - Phone
- (971) 227-1563
- NPI assigned
- Oct 26, 2007
- Last updated
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 12165 | TX | Primary |
Addresses
Primary practice location
1464 East Whitestone Blvd
Building 1
Cedar Park, TX 78613
Mailing address
2700 Saddle Blanket PL
Leander, TX 78641
Phone (971) 227-1563
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12165 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Knecht, DC, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1699954677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SADDLE BLANKET PL",
"city": "LEANDER",
"state": "TX",
"postal_code": "78641",
"telephone_number": "971-227-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 EAST WHITESTONE BLVD",
"address_2": "BUILDING 1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "78613",
"telephone_number": "971-227-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARIS",
"first_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
- Deepa P. Patel, O.D., P.C. (MaximEyes Vision)
- Valeria Delagarza, DC
- Steven Neil Delao, PHARMD RPH
- Sylvia R. Deleon, LMSW-IPR
- Dell Children's Medical Group
- Alyssa Marie Demetrius
- Denae W Rickenbacker MD PC
- Jenna Dennehy
- Dental Health Associates of TX, PC (Family Dental Care of Cedar Park)
- Dental Health Management Solutions, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.