Jamal Thomas De Vita, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3001 Issued in MA

Practice address

179 Great Rd Ste 107
Acton, MA 01720-5740

Phone

(978) 263-9336

Fax

(978) 264-4431

NPI assigned

May 20, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Devita Chiropractic LLC

  • Chiropractor
  • Acton, MA
  • NPI 1124602271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1972557288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 107",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-263-9336",
            "fax_number": "978-264-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD STE 107",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205740",
            "telephone_number": "978-263-9336",
            "fax_number": "978-264-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VITA",
        "first_name": "JAMAL",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603370",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Danley, PT, DPT
• Jasmin Darling, M.D.
• Catherine N Ddiba, RN
• Rachelle De Saint Phalle, BCBA
• De Vita Chiropractic Office PC
• Thomas Richard De Vita, D.C.
• Josette Deceus
• Lea S Decoteau, MSPT
• Jill Marie Defoe, LICSW
• Peter James Demartino, M.D.

• Chiropractor in Acton, MA
• Providers in Acton, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.