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DR. JOHN JOSEPH DERICCO D.C.
NPI 1356582902
Chiropractor in Buford, GA

Active since March 11, 2009
5965 DOLVIN LANE, BUFORD, GA 30518(770) 935-8533 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Joseph Dericco D.c. NPPES

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

DR. JOHN JOSEPH DERICCO D.C. (NPI 1356582902) is an individual chiropractor in Buford, Georgia, licensed in Georgia (CHIR004683) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1356582902
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN JOSEPH DERICCOCredential: D.C.
Location Address5965 DOLVIN LANEBuford, GA 30518-1207
Mailing Address5965 Dolvin LaneBuford, GA 30518-1207
Phone(770) 935-8533
Sole ProprietorNo
Enumeration DateMarch 11, 2009
✔ NPI 1356582902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR004683
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.
5965 DOLVIN LANE, Buford, GA 30518
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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 John Dericco's NPI number?

The NPI number for John Dericco is 1356582902. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is John Dericco located?

John Dericco practices at 5965 Dolvin Lane, Buford, GA 30518. The listed phone number is (770) 935-8533.

What is John Dericco's specialty?

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

When was this NPI record last updated?

The NPPES record for John Dericco was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.