Joubert Desulme, D.C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11773 Issued in TX

Practice address

3775 Central Ave
Ste B
St Petersburg, FL 33713-8338

Phone

(214) 349-9432

Fax

(972) 200-0485

NPI assigned

Jun 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1972897817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 4TH ST N",
            "address_2": "APT 141",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161733",
            "telephone_number": "727-421-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 CENTRAL AVE",
            "address_2": "STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138338",
            "telephone_number": "214-349-9432",
            "fax_number": "972-200-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESULME",
        "first_name": "JOUBERT",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11533",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carline Desir, APRN
• Patrick Desir, PMHNP-BC
• Garcia Jose Desousa, MD
• David D. Desper Jr., M.D.
• Jennifer Ellen Desruisseau, PHARM.D.
• Details Dental Studio PLLC
• Huguette Deteau Salahuddin, DDS
• Elissa Deusner, PT DPT
• Sheila S Devanesan, M.D.
• Anne Regina Devaney, PH.D MSN-ED RN

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.