David Joseph Deraimo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

861 Issued in WV

Practice address

612 Main St
Chapmanville, WV 25508

Phone

(304) 855-4529

Fax

(304) 855-5112

NPI assigned

Feb 12, 2007

Last updated

May 21, 2008By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chapmanville Family Chiropractic

  • Chiropractor
  • Chapmanville, WV
  • NPI 1063634749
  NPD (past) Authorized official
• Alfredo C Velasquez MD PLLC

  • Specialist
  • Charleston, WV
  • NPI 1194028373
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1902948722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4357",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255084357",
            "telephone_number": "304-855-4529",
            "fax_number": "304-855-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-4529",
            "fax_number": "304-855-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAIMO",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001945851",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET WORKERS COMP",
            "identifier": "1071821",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY ADVANTRA FREEDOM",
            "identifier": "633786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009267096",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008715",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emile Rose Dalton
• Kylee Damron
• Maggie Danish
• Kylee Arin Davis
• Mark Hoyt Davis
• Caine Thomas Dials, LGSW
• Dignity Hospice O Southern WV
• Dignity Hospice of Southern West Virginia Inc (Dignity Rx)
• Dignity Hospice of Southern West Virginia Inc. (Dignity Medical Equipment)
• Dignity Hospice of Southern West Virginia Inc.

• Chiropractor in Chapmanville, WV
• Providers in Chapmanville, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.