Lydia L. Dever, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007392 Issued in GA

Practice address

3903 Jiles Road
BLDG 100 Suite 101
Kennesaw, GA 30144-7147

Phone

(678) 290-3263

Fax

(678) 290-2859

NPI assigned

Aug 15, 2005

Reactivated

Apr 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gana Corporation

  • Chiropractor
  • Kennesaw, GA
  • NPI 1861666893
  NPD (past)
• Kolonick Chiropractic, PC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1740391358
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790777944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 JILES ROAD",
            "address_2": "BLDG 100 SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "678-290-3263",
            "fax_number": "678-290-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 JILES ROAD",
            "address_2": "BLDG 100 SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "678-290-3263",
            "fax_number": "678-290-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVER",
        "first_name": "LYDIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-04-10",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deriche Agency Inc
• Annie Derthick, PHD
• Shyamal Desai, PHARMD.
• Destination Trans LLC Dba Anywhere You Need to Go
• Douglas Jay Deuchar, D.M.D.
• Devereux Foundation
• Devereux Georgia
• Devereux Goergia Treatment Network
• Waddah A Diab, DDS
• Diabetic Soles, Inc

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• 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.

Verify at the official NPI Registry.