Active NPI
Rod Douglas Deraney, D.C.
- Chiropractor
- Sandy Hook, CT
National Provider Identifier
1750308441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001672
- Practice address
- 24 Glen Rd
Sandy Hook, CT 06482-1124 - Phone
- (203) 426-6334
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001672 | CT | Primary |
Addresses
Primary practice location
24 Glen Rd
Sandy Hook, CT 06482-1124
Mailing address
24 Glen Rd
Sandy Hook, CT 06482-1124
Phone (203) 426-6334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001672 | CT | MD | Professional Counselor |
| 1672 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750308441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GLEN RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821124",
"telephone_number": "203-426-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 GLEN RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821124",
"telephone_number": "203-426-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERANEY",
"first_name": "ROD",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.