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SANDSTONE CHIROPRATIC, P.A.
NPI 1154585636
Chiropractor in Montgomery, TX

Active since July 15, 2008
123 BLUE HERON DR STE 104, MONTGOMERY, TX 77316(936) 582-0404(936) 582-0410 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandstone Chiropratic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDSTONE CHIROPRATIC, P.A. (NPI 1154585636) is a healthcare organization registered as a chiropractor in Montgomery, Texas and active in the NPI registry since July 2008. The organization lists Tony W Deramus, President, as its authorized official.

NPPES Registry Identity

NPI1154585636
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSANDSTONE CHIROPRATIC, P.A.
Location Address123 BLUE HERON DR STE 104Montgomery, TX 77316-3192
Mailing Address123 Blue Heron Dr Ste 104Montgomery, TX 77316-3192 · (936) 582-0404 · Fax (936) 582-0410
Phone(936) 582-0404
Fax(936) 582-0410
Organization SubpartNo
Authorized OfficialTony W DeramusPresident · (936) 582-0404
Enumeration DateJuly 15, 2008
✔ NPI 1154585636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 8344
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.
123 BLUE HERON DR STE 104, Montgomery, TX 77316
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Other Identifiers 2

Medicare PIN609357TX
Medicare UPINU79466TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandstone Chiropratic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sandstone Chiropratic, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Tony Deramus, DC
Chiropractic
NPI 1750494985
123 BLUE HERON DR STE 104
Montgomery, TX 77316
(936) 582-0404
✔ Accepts MedicareSame address
Halden Maynard, DC
Chiropractic
NPI 1164192605
125 BLUE HERON DR STE B
Montgomery, TX 77316
(936) 582-0404
✔ Accepts MedicareSame address
Chantelle Kempinski, D.C.
Chiropractic
NPI 1871926006
9611 FM 1097 RD W STE 300
Willis, TX 77318
(936) 230-5515
✔ Accepts Medicare9.3 mi
Rebecca Koogler
Chiropractic
NPI 1639842214
9000 SIX PINES DR
Shenandoah, TX 77380
(346) 786-5988
18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandstone Chiropratic, P.A.'s NPI number?

The NPI number for Sandstone Chiropratic, P.A. is 1154585636. It was assigned to this organization in the NPPES registry on July 15, 2008.

Where is Sandstone Chiropratic, P.A. located?

Sandstone Chiropratic, P.A. is located at 123 Blue Heron Dr Ste 104, Montgomery, TX 77316. The listed phone number is (936) 582-0404.

What is Sandstone Chiropratic, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sandstone Chiropratic, P.A. enrolled in Medicare?

Yes. Sandstone Chiropratic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandstone Chiropratic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Sandstone Chiropratic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandstone Chiropratic, P.A. was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.