DR. TONY DEJTIRANUKUL D.C.
NPI 1497086953
Chiropractor in Lebanon, OH

Q: What is Tony Dejtiranukul's NPI number?

The NPI number for Tony Dejtiranukul is 1497086953. It was assigned to this individual provider in the NPPES registry on January 23, 2010.

Q: What is Tony Dejtiranukul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tony Dejtiranukul was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since January 23, 2010

990 BELVEDERE DR STE B, LEBANON, OH 45036(513) 836-8844(513) 836-8845 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Tony Dejtiranukul D.c. NPPES

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

DR. TONY DEJTIRANUKUL D.C. (NPI 1497086953) is an individual chiropractor in Lebanon, Ohio, licensed in Ohio (4008) and active in the NPI registry since January 2010. He is a graduate of Logan College Of Chiropractic (2008).

NPPES Registry Identity

NPI1497086953

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TONY DEJTIRANUKULCredential: D.C.

Location Address990 BELVEDERE DR STE BLebanon, OH 45036-1193

Mailing Address990 Belvedere Dr Ste BLebanon, OH 45036-1193 · (513) 836-8844 · Fax (513) 836-8845

Phone(513) 836-8844

Fax(513) 836-8845

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2008

Enumeration DateJanuary 23, 2010

Last NPPES UpdateFebruary 12, 2026

✔ NPI 1497086953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · 4008

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.

990 BELVEDERE DR STE B, Lebanon, OH 45036

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tony Dejtiranukul D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052507506

PECOS Enrollment IDI20101123000099

Medicare Billing Reassignment

Medicare enrollment records show Tony Dejtiranukul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Countryside Clinic Of Chiropractic, LLC

Same address

Chiropractor

990 BELVEDERE DR STE B
Lebanon, OH 45036

Reassigned Medicare billing, Ohio enrollment

NPI 1063837367 (513) 836-8844

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

154 services14 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTRYSIDE CLINIC OF CHIROPRACTIC, LLC

Chiropractor

990 BELVEDERE DR STE B
LEBANON, OH 45036

Warren County (513) 836-8844

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 Tony Dejtiranukul's NPI number?

The NPI number for Tony Dejtiranukul is 1497086953. It was assigned to this individual provider in the NPPES registry on January 23, 2010.

Where is Tony Dejtiranukul located?

Tony Dejtiranukul practices at 990 Belvedere Dr Ste B, Lebanon, OH 45036. The listed phone number is (513) 836-8844.

What is Tony Dejtiranukul's specialty?

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

Is Tony Dejtiranukul enrolled in Medicare?

Yes. Tony Dejtiranukul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tony Dejtiranukul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Dejtiranukul reassigns Medicare benefits to Countryside Clinic Of Chiropractic, LLC (Lebanon, OH). The 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 Tony Dejtiranukul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tony Dejtiranukul was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.