Domonique M Detrick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007066L Issued in PA

Practice address

125 E Otterman St
Greensburg, PA 15601-2509

Phone

(724) 838-7700

Fax

(724) 838-7200

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Detrick & Kelly Chiropractic Clinic Inc

  • Chiropractor
  • Greensburg, PA
  • NPI 1871532739
  NPD (past)
• Family Chiropractic Healthcare LLC

  • Chiropractor
  • Greensburg, PA
  • NPI 1700803673
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801872999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E OTTERMAN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012509",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E OTTERMAN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012509",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICK",
        "first_name": "DOMONIQUE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007066L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01664678",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Desantis, MOTRL
• Kristen J Desarro, SLP
• Aniellio N/a Destefano, BA
• Anthony Arthur Detore, EDD
• Detrick & Kelly Chiropractic Clinic Inc
• Elizabeth L. Detschelt, M.D
• Shea Devine, DMD
• Hannah Ellen Devitt
• David Mark Dewitt, LMFT, LPC
• Dhaduk Pediatric Dentistry PLLC

• Chiropractor in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.