D.C. Deweese, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8089 Issued in FL

Legal business name

D.C. DEWEESE, P.A.

Practice address

1312 Dunn Ave
Jacksonville, FL 32218-4836

Phone

(904) 757-4786

Fax

(904) 757-4882

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Damon Chris Deweese, D.C.NPI 1710956669

Title

Doctor

Phone

(904) 757-4786

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northside Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon Christopher Deweese, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1710956669
  Medicare reassignment NPD Authorized official
• Steven Lloyd Rhodes, D.C.

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1508979014
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1972797579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184836",
            "telephone_number": "904-757-4786",
            "fax_number": "904-757-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184836",
            "telephone_number": "904-757-4786",
            "fax_number": "904-757-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.C. DEWEESE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "DEWEESE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-757-4786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381586200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• D.S.C. Support Services LLC
• Deric D'Agostino, D.C.
• Emma D'Agostino
• Tina Marie D'Alessandro, PH.D., PMHNP-BC
• Lanya D'Ambrosio

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.