John Donovan Dewitt II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2355 Issued in ID

Practice address

1220 N Meridian Rd
Meridian, ID 83642-2248

Phone

(208) 884-5000

NPI assigned

Apr 24, 2008

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Health Group PLLCGroup PAC ID 4981912870, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elevate Health Group PLLC

  dba Keystone Physical Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boise, ID
  • NPI 1770963274

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Olsen Chiropractic and Performance Enhancement

  • Chiropractor
  • Nampa, ID
  • NPI 1912221938
  NPD

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1760657373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MERIDIAN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422248",
            "telephone_number": "208-884-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MERIDIAN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422248",
            "telephone_number": "208-884-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JOHN",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30867",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Jean Detweiler, P.A.
• Robyn R Develle, DC, NP-C
• John B Dever, MD
• Erica Lindsey Deweber, RD, LD
• Maribel Dewey, PHARMD
• Diamond View Care Properties, LLC (Copper Springs Assisted Living and Memory Care)
• Francisco Diaz
• Victoria Diaz
• Heather Diefenbach, MSCCC-SLP
• Karen A. Dietz, LPC

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.