DEMETRIOS AGIS KYDONIEUS


Address: 435 Buckhorn Dr, Belvidere, NJ 07823-2710
Phone: 9087631178

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 38MC00566000 NJ Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ FEDERAL TAX ID 58-1893942 01

Office Location

Street Address 435 BUCKHORN DR
City BELVIDERE
State NJ
Zip Code 07823-2710

Providers in the same zip code

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 Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BELVIDERE
Zip Code 07823

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Dataset Information

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.

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