Detray Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3918 Issued in OH

Legal business name

DETRAY CHIROPRACTIC CENTER

Practice address

1844 E 2ND St
Defiance, OH 43512-2502

Phone

(419) 785-4215

Fax

(419) 785-4274

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Megan Detray, D.C.

Title

Owner

Phone

(419) 785-4215

Specialties & licenses 2

Addresses

Locations

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.

• Savannah Jones, PA-C

  • Physician Assistant
  • Toledo, OH
  • NPI 1851900575
  NPD
• Mercydes L. Prewett, APRN-CNP

  • Family Nurse Practitioner
  • Logan, OH
  • NPI 1780254888
  NPD
• Elizabeth Low, FNP-BC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1376288894
  NPD

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1730328535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122502",
            "telephone_number": "419-785-4215",
            "fax_number": "419-785-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122502",
            "telephone_number": "419-785-4215",
            "fax_number": "419-785-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETRAY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "DETRAY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-785-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3918",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "3918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Defiance SNF Opco LLC (Defiance Health Care Center)
• Defiance SNF, LLC (Illuminate HC Defiance)
• Defiance Therapeutic Massage & Wellness Center, LLC
• Lisa Demarest, MS, LSW
• Elizabeth Marie Deming, LPN
• Shaila Renae Dibell, BCBA
• Jalyn Dickerson, LPN
• Dakota James Dietz
• Nychole Ditmyer, LPC
• Bonnie Downey

• Chiropractor in Defiance, OH
• Providers in Defiance, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.