Active NPI
Daniel Dereuter, D.C.
- Chiropractor
- Dalton, GA
National Provider Identifier
1811074172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006739
- Practice address
- 526 McGhee Dr
Dalton, GA 30721-4333 - Phone
- (706) 529-1149
- Fax
- (706) 529-5279
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006739 | GA | Primary |
Addresses
Primary practice location
526 McGhee Dr
Dalton, GA 30721-4333
Mailing address
12 Gunston Hall NW
Cartersville, GA 30120-7763
Phone (706) 529-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006739 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1811074172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GUNSTON HALL NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207763",
"telephone_number": "706-529-1149",
"fax_number": "706-529-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 MCGHEE DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307214333",
"telephone_number": "706-529-1149",
"fax_number": "706-529-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEREUTER",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "006739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.