Justin Dean Dempsey, DC
Individual provider Active NPI Chiropractor · Cape Coral, FL
NPI 1982016747 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1982016747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 12595 (TX)
- Practice address
- 1413 Viscaya Pkwy
Cape Coral, FL 33990-6206 - Phone
- (239) 458-5747
- Fax
- (239) 984-5365
- NPI assigned
- May 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1413 Viscaya Pkwy
Cape Coral, FL 33990-6206
Phone (239) 458-5747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209000297 | FL | Practitioner - Chiropractic | 4981829215 | Reassigns benefits to 1 organization |
| I20260520002847 | WI | Practitioner - Chiropractic | 4981829215 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12595 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Integrated Medical | Chiropractor | Current |
Accepting new patients |
| Ace Chiropractic & Wellness SC | Chiropractor | Current | Accepting new patients |
Locations
643 Cape Coral Pkwy E
Ste E
Cape Coral, FL 33904
Phone (239) 458-5747
1413 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 242-0070
2999 W Spencer St
Ste 1010
Appleton, WI 54914
Phone (920) 931-0350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12595 | TX | Yes |
Addresses
Primary practice location
1413 Viscaya Pkwy
Cape Coral, FL 33990-6206
Mailing address
1413 Viscaya Pkwy
Cape Coral, FL 33990-6206
Phone (239) 458-5747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12595 | Other | TX | LICENSE |
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.