Douglas Wayne Devries, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4604 Issued in AZ

Practice address

144 W 32ND St
Yuma, AZ 85364-8127

Phone

(928) 726-8847

Fax

(928) 341-0417

NPI assigned

Mar 8, 2006

Reactivated

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heuser Chiropractic PC

  • Chiropractor
  • Yuma, AZ
  • NPI 1750563078
  Medicare reassignment

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1700854684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648127",
            "telephone_number": "928-726-8847",
            "fax_number": "928-341-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648127",
            "telephone_number": "928-726-8847",
            "fax_number": "928-341-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-01-21",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "4604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350047376",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Zen Healthcare
• Destiny Rose Hospice
• Sarah C Determan, PA C
• Thomas Francis Determan
• Jessica Bond Detrick
• Kiran Dhillon
• Simi K. Dhillon, M.D.
• DHN Anesthesia PLLC
• Navjot Dhoat, MD
• DHP of Arizona PC

• Sports Physician Chiropractor in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Sports Physician Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.