Active NPI
Tony Wesley Deramus, DC
- Sports Physician Chiropractor
- Montgomery, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 8344
- Practice address
- 123 Blue Heron Dr
Ste 104
Montgomery, TX 77316-3192 - Phone
- (936) 582-0404
- Fax
- (936) 582-0410
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 8344 | TX | Primary |
Addresses
Primary practice location
123 Blue Heron Dr
Ste 104
Montgomery, TX 77316-3192
Mailing address
123 Blue Heron Dr
Ste 104
Montgomery, TX 77316-3192
Phone (936) 582-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Blue Heron Dr
Suite B
Montgomery, TX 77316-3183
Phone (936) 582-0404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandstone Chiropractic the Woodlands, PLLC | Current | Accepting new patients | |
| Sandstone Chiropractic Huntsville, PLLC | Current | Accepting new patients | |
| Sandstone Chiropratic, P.a. | Sports Physician | Current | Accepting new patients |
| Sandstone Chiropractic Conroe, PLLC | Current | Accepting new patients | |
| Sandstone Medical | Past | Accepting new patients | |
| John T Randolph Jr DC PC | Past | Accepting new patients | |
| Sspmr, PLLC | Past | Accepting new patients | |
| Sandstone Chiropractic Gosling, PLLC | Past | Accepting new patients | |
| Lake Conroe Counseling Center, PLLC | Past | Accepting new patients | |
| Sandstone Chiropractic Cypress, PLLC | Past | Accepting new patients | |
| Sandstone Chiropractic Magnolia, PLLC | Past | Accepting new patients |
Locations
1803 W White Oak Ter
Ste A
Conroe, TX 77304
227 State Highway 75 N
Ste 135
Huntsville, TX 77320
Phone (936) 253-5314
123 Blue Heron Dr
Ste 104
Montgomery, TX 77316
Phone (936) 449-8053
125 Blue Heron Dr
#B
Montgomery, TX 77316
Phone (936) 582-0404
3466 Discovery Creek Blvd
Ste 300
Spring, TX 77386
Phone (281) 203-0070
Interoperability endpoints
- doc@ssc0001.direct.chirotouch.md
Organizations & group practices 11
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.
-
dba Sandstone Chiropractic
- Chiropractor
- Huntsville, TX
- NPI 1043081920
-
- Chiropractor
- The Woodlands, TX
- NPI 1407371917
-
dba Sandstone Chiropractic
- Chiropractor
- Conroe, TX
- NPI 1033567961
-
- Chiropractor
- Cypress, TX
- NPI 1922686732
-
dba Sandstone Chiropractic
- Chiropractor
- Spring, TX
- NPI 1801481486
-
- Chiropractor
- Magnolla, TX
- NPI 1861813438
-
- Multi-Specialty Clinic/Center
- Montgomery, TX
- NPI 1134772270
-
- Chiropractor
- Pearland, TX
- NPI 1487848750
-
dba Lake Conroe Counseling
- Marriage & Family Therapist
- Montgomery, TX
- NPI 1750817888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1750494985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BLUE HERON DR",
"address_2": "STE 104",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773163192",
"telephone_number": "936-582-0404",
"fax_number": "936-582-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BLUE HERON DR",
"address_2": "STE 104",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773163192",
"telephone_number": "936-582-0404",
"fax_number": "936-582-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERAMUS",
"first_name": "TONY",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "8344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
- Kristin De Meo, M.S. CCC-SLP
- Amy R Dean, LMFT
- Deer Lake Lodge, LLC
- Dental Health Associates of Texas, PC (Stewart Creek Dental Care)
- Dentists of Montgomery, PC (Dentists of Montgomery)
- Erika Dichmann, PT, DPT
- Billie Christine Dickens, COTA/L
- Patsy Dickens
- Doctor of Behavioral Health
- Thomas Scott Douglass III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.