Dematte Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-006559L Issued in PA

Legal business name

DEMATTE CHIROPRACTIC LLC

Practice address

1155 Interchange Rd
Lehighton, PA 18235-9068

Phone

(610) 377-1900

Fax

(610) 377-1516

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John J Dematte IV, DCNPI 1194777383

Title

President/Owner

Phone

(610) 377-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Dematte IV, DC

  • Chiropractor
  • Lehighton, PA
  • NPI 1194777383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1770825895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 INTERCHANGE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359068",
            "telephone_number": "610-377-1900",
            "fax_number": "610-377-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 INTERCHANGE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359068",
            "telephone_number": "610-377-1900",
            "fax_number": "610-377-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMATTE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "DEMATTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-377-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006559L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marnie Cunningham, PA-C
• Melissa Dagnall, PA-C
• Christy Lynn Delgado, CRNP
• Scott Michael Demasi, RN,BC-NI
• Dematte Chiropractic Associates
• John J Dematte IV, DC
• John J Dematte III, DC
• Shannon Dereamus, CRNP
• Dustin Derstine, PAC
• Timothy Joseph Donaghy, CRNP

• All providers in Lehighton, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.