Dejesus Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005249 Issued in FL

Legal business name

DEJESUS CHIROPRACTIC CENTER PA

Practice address

7520 S Red Rd Ste F
South Miami, FL 33143-5330

Phone

(305) 661-4989

Fax

(305) 374-0081

NPI assigned

Oct 2, 2006

Last updated

Jun 4, 2022By 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. Jose A Dejesus, DCNPI 1811080823

Title

Officer

Phone

(305) 661-4989

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Jose A De Jesus, DC

  • Chiropractor
  • South Miami, FL
  • NPI 1811080823
  Medicare reassignment Authorized official
• Iris M Dejesus, D C

  • Chiropractor
  • Miami, FL
  • NPI 1285850602
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1720171721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 S RED RD STE F",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435330",
            "telephone_number": "305-661-4989",
            "fax_number": "303-374-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 S RED RD STE F",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435330",
            "telephone_number": "305-661-4989",
            "fax_number": "305-374-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJESUS CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-661-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "39619",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050688500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Luz De Lerma, M.D.
• Debbie Leiter RPT PA
• Debra G Kenward MD PA
• Deirdre M. Marshall, MD., PA
• Jan-Mario Dejean, M.D.
• Michelle Rosana Dejesus
• Yadira Caridad Del Castillo Fernandez
• Kristina Del Rey
• Del Rio & Associates PA
• Franklin E Del Rio, DDS

• Chiropractor in South Miami, FL
• Providers in South Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.