Organization Active NPI

Demko Group LLC

Doing business as The Demko Clinic

  • Chiropractor
  • Chesterton, IN
National Provider Identifier
1710594486
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DEMKO GROUP LLC
Doing business as
The Demko Clinic
Practice address
810 Michael Dr Ste E
Chesterton, IN 46304-2695
Phone
(219) 921-2095
Fax
(219) 533-4014
NPI assigned
Sep 28, 2020
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Margaret Demko
Title
Office Coordinator
Phone
(219) 508-4154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

810 Michael Dr Ste E
Chesterton, IN 46304-2695

Mailing address

6908 W 200 N
La Porte, IN 46350-9734
Phone (219) 508-4154

Other names 1

  • The Demko Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020000122 IN Part B Supplier - Clinic/Group Practice 5395165013 Receives reassigned benefits from 3 practitioners
Practice locations: Chesterton, IN

National Provider Directory

National Provider Directory

Locations

770 Indian Boundary Rd
Ste 200
Chesterton, IN 46304
Phone (219) 872-6566

810 Michael Dr
Chesterton, IN 46304
Phone (219) 983-1533

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1710594486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 W 200 N",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463509734",
            "telephone_number": "219-508-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MICHAEL DR STE E",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042695",
            "telephone_number": "219-921-2095",
            "fax_number": "219-533-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMKO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "DEMKO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "219-508-4154"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Demko Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Demko Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.