MEDICARE: JUSTIN DEAN DEMPSEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	12595	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12595	OTHER	TX	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982016747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN DEAN DEMPSEY DC

Provider Business Mailing Address
First Line	:	1413 VISCAYA PKWY
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-6206
Country	:	US
Telephone Number	:	239-458-5747
Fax Number	:	239-984-5365

Provider Business Practice Location Address
First Line	:	1413 VISCAYA PKWY
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-6206
Country	:	US
Telephone Number	:	239-458-5747
Fax Number	:	239-984-5365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	04/11/2022

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Directions to “ JUSTIN DEAN DEMPSEY DC” Practice Location

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