Gerald Depew, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

3299 Court St
Pekin, IL 61554-6208

Phone

(309) 347-2510

Fax

(309) 347-2502

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851346357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546208",
            "telephone_number": "309-346-2663",
            "fax_number": "309-346-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546208",
            "telephone_number": "309-347-2510",
            "fax_number": "309-347-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09032059",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scarlet Deluhery, LPN
• Anthony John Demonte, DSS
• Dennis K Stoller DDS LTD
• Tonya Lynn Dennison, FNP
• Depew Family Chiropractic, P.C.
• Lori L Dewitt, RSA DSP
• Dialysis Centers of America - Illinois, Inc.
• Stephen E Dickey, DDS
• Lindsay Diekhoff, SLP
• Jeff Wayne Dill, D.C.

• Chiropractor in Pekin, IL
• Providers in Pekin, IL by specialty
• Chiropractor in Illinois

• 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.