DEMETRIOS AGIS KYDONIEUS (NPI# 1316009301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316009301 |
Entity Type | Individual |
Full Name | DEMETRIOS AGIS KYDONIEUS |
Credential | DC |
Practice Address |
435 Buckhorn Dr Belvidere NJ 07823-2710 |
Mailing Address |
8881 Seminole Trl Ruckersville VA 22968-3448 |
Practice Telephone | 9087631178 |
Practice Fax Number | 9087504267 |
Mailing Telephone | 4344812012 |
Enumeration Date | 2006-12-15 |
Last Update Date | 2018-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00566000 | NJ | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | FEDERAL TAX ID | 58-1893942 | 01 |
Street Address |
435 BUCKHORN DR |
City | BELVIDERE |
State | NJ |
Zip Code | 07823-2710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528233400 | Anthony Marino Rossi | Dentist | 119 Greenwich St, Belvidere, NJ 07823 | 2008-04-23 |
1083829196 | Maria Eustice | Nurse Practitioner | 187 County Road 519 Ste 2, Belvidere, NJ 07823 | 2007-05-11 |
1730209834 | Hanne Unger | Psychologist | 309 Second St, Belvidere, NJ 07823 | 2007-03-30 |
1720196157 | Dennis John Melillo | Chiropractor | 540 Route 519, Suite 3, Belvidere, NJ 07823 | 2006-08-27 |
1003820465 | John V Bernard | Family Medicine | 526 Water Street, Belvidere, NJ 07823 | 2006-07-28 |
1780162396 | St. Luke's Warren Physician Group, PC | Family Medicine | 187 County Road 519 Ste 2, Belvidere, NJ 07823 | 2018-08-06 |
1427507235 | Selah Adult Care Corporation | Respite Care | 133 Fourth Street, Belvidere, NJ 07823 | 2016-09-22 |
1972673572 | Eric Rodriguez | Chiropractor | 337 Water St, Belvidere, NJ 07823-1218 | 2006-11-09 |
1255863007 | Alternatives Inc. | Community/Behavioral Health | 400 Prospect St, Apt. 19a, Belvidere, NJ 07823-1240 | 2017-03-31 |
1043837081 | Deborah Dominicci | Counselor | 526 Water St, Belvidere, NJ 07823-1310 | 2020-06-25 |
Find all providers in zip 07823 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962943936 | Kelsey Botterman | Chiropractor | 9960 Poplar Grove Rd, Belvidere, IL 61008-8980 | 2017-03-10 |
1639587942 | Samantha Elizabeth Bradley | Chiropractor | 8115 Fruit Farm Rd, Belvidere, IL 61008-9075 | 2014-07-30 |
1932547189 | Amy Elizabeth Hippard | Chiropractor | 998 Belvidere Rd Ste 3, Belvidere, IL 61008-9360 | 2013-06-10 |
1023312097 | Danielle E Anderson | Chiropractor | 3088 Flora Rd, Belvidere, IL 61008-9342 | 2011-01-05 |
1891939955 | Area Chiropractic Clinic Inc | Chiropractor | 301 N State St, Belvidere, IL 61008-3224 | 2009-04-20 |
1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
1912073735 | Roger Allen Pope | Chiropractor | 1414 North State Street, Belvidere, IL 61008-2094 | 2006-11-24 |
1972673572 | Eric Rodriguez | Chiropractor | 337 Water St, Belvidere, NJ 07823-1218 | 2006-11-09 |
1629168612 | Rosemary Schiavi | Chiropractor | 12924 Wild Prairie Close, Belvidere, IL 61008-8500 | 2006-10-13 |
1578669263 | Jon P Heins | Chiropractor | 1 Brookfield Glen Dr, Suite B, Belvidere, NJ 07823-2854 | 2006-09-16 |
Find all providers in BELVIDERE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.