Individual provider Active NPI

Dean Depice, DC

  • Chiropractor
  • Willow Grove, PA
National Provider Identifier
1740778976
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003837L Issued in PA
Practice address
907 Easton Rd
Willow Grove, PA 19090-2051
Phone
(215) 657-3200
Fax
(215) 657-9695
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003837L PA Primary

Addresses

Primary practice location

907 Easton Rd
Willow Grove, PA 19090-2051

Mailing address

907 Easton Rd
Willow Grove, PA 19090-2051
Phone (215) 657-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718000142 PA Practitioner - Chiropractic 6103173489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC ChiropracticGroup PAC ID 3577650209, 2 clinicians

Practice addresses (Care Compare)

907 Easton Rd
Willow Grove, PA 19090-2051
Phone (215) 657-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003837LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Chiropractic Chiropractor CurrentSince Aug 25, 2018 Accepting new patients
McCormick Depasque Chiropractic, Professional Corporation Chiropractor CurrentSince Aug 25, 2018 Accepting new patients

Locations

907 Easton Rd
Willow Grove, PA 19090
Phone (215) 657-1701

Organizations & group practices 2

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1740778976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902051",
            "telephone_number": "215-657-3200",
            "fax_number": "215-657-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902051",
            "telephone_number": "215-657-3200",
            "fax_number": "215-657-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPICE",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003837L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.