Individual provider Active NPI

Derek Surmont, DC

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1750118501
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3948 Issued in TN
Practice address
3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996
Phone
(615) 907-7490
NPI assigned
Sep 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 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 3948 TN Primary

Addresses

Primary practice location

3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996

Mailing address

3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996
Phone (615) 907-7490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007004067 TN Practitioner - Chiropractic 7214434190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic ClinicsGroup PAC ID 0840536728, 5 clinicians

Practice addresses (Care Compare)

3918 Cedar Glades Dr
Murfreesboro, TN 37128-2996
Phone (615) 907-7490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3948TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Sep 18, 2025 Accepting new patients
Dynamic Chiropractic Clinics Chiropractor CurrentSince Sep 18, 2025 Accepting new patients

Locations

3918 Cedar Glades Dr
Murfreesboro, TN 37128
Phone (615) 907-7490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1750118501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CEDAR GLADES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282996",
            "telephone_number": "615-907-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 CEDAR GLADES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371282996",
            "telephone_number": "615-907-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURMONT",
        "first_name": "DEREK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.