Demarest Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001360 Issued in CT

Legal business name

DEMAREST CHIROPRACTIC, LLC

Practice address

740 Maple Ave
Hartford, CT 06114-2314

Phone

(860) 296-0090

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Demarest, D.C.NPI 1134133846

Title

Owner/Administrator/Chiropractor

Phone

(860) 296-0090

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Demarest, D.C.

  • Chiropractor
  • Hartford, CT
  • NPI 1134133846
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902810773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAPLE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142314",
            "telephone_number": "860-296-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMAREST CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMAREST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "860-296-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050001360CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  NON HMO/PPO",
            "identifier": "7163301",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  HMO",
            "identifier": "1289267",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN/CIGNA",
            "identifier": "1034337",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10450156",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK/HEALTHNET",
            "identifier": "CT0847",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.C.  STATE LICENSE#",
            "identifier": "001360",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Della Barba
• Caralynn Della Ripa, RD
• Hannah Deluca, PAC
• Nina M. Delucco, LCSW
• Mara Madeleine Demaio, PH.D.
• Kenneth Demarest, D.C.
• Matthew Dematteo, DO
• Richelle Demayo, MD
• Denise Ann Demers, L.C.S.W.
• Bethany G Deming, LCSW

• Chiropractor in Hartford, CT
• Providers in Hartford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.