Robert Stephen Demoss Jr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24708 Issued in CA

Practice address

131 W El Portal
San Clemente, CA 92672-4633

Phone

(949) 492-5511

Fax

(949) 325-0036

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robert Demoss Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert S. Demoss, a Chiropractic Corporation

  • Chiropractor
  • San Clemente, CA
  • NPI 1528084944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932137635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W EL PORTAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724633",
            "telephone_number": "949-492-5511",
            "fax_number": "949-325-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W EL PORTAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724633",
            "telephone_number": "949-492-5511",
            "fax_number": "949-325-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "DEMOSS",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Michele Degroat, RBT
• Michelle Dehn, PA-C
• Jennie Deignan, PT, DPT
• Teresa Delatolla Fiano, PT
• Chloe Demore, RBT
• Wade Justin Denes, LMFT
• Jennifer Denney, AMFT
• Ryan Denney, AMFT
• Dental Excellence Inc.
• Daniel Depmore, P.A.

• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.