Marie J Derilus

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13954 Issued in TX

Practice address

102 E Old Bowman Rd Ste C
Round Rock, TX 78664-2296

Phone

(512) 589-2702

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Exhale Medical Massage and Rehabilitation

  • Chiropractor
  • Round Rock, TX
  • NPI 1255962122
  NPD Authorized official

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1982169165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E OLD BOWMAN RD STE C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642296",
            "telephone_number": "512-589-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E OLD BOWMAN RD STE C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642296",
            "telephone_number": "512-589-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERILUS",
        "first_name": "MARIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Associates of Texas, PC.
• Dental Republic- Round Rock, LLC
• Dental Republic-Austin
• Betsey Denton, RN
• Kelly Leeann Deputy, FNP
• Aditi A Desai, M.D.
• Ansuya Desai, M.D.
• Bella Prahlad Desai, M.D.
• Kirtibala Samir Desai, DDS
• Saloni Desai

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.