Organization Active NPI

Deboard & Govett, Doctors of Chiropractic, a Professional Corporation.

  • Chiropractor
  • Ceres, CA
National Provider Identifier
1073713434
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0107830 Issued in CA
Legal business name
DEBOARD & GOVETT, DOCTORS OF CHIROPRACTIC, A PROFESSIONAL CORPORATION.
Practice address
2943 4TH St
Ceres, CA 95307-3222
Phone
(209) 537-5068
Fax
(209) 537-9187
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raymond Allan Govett, DC
Title
Secretary
Phone
(209) 537-5068

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC0107740 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC0107830 CA Primary
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X DC0107830 CA
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X DC0107830 CA

Addresses

Primary practice location

2943 4TH St
Ceres, CA 95307-3222

Mailing address

2943 4TH St.
Ceres, CA 95307
Phone (209) 537-5068

Other identifiers 2

IdentifierTypeStateIssuer
T04053MedicaidCA
T04058MedicaidCA

National Provider Directory

National Provider Directory

Locations

2943 4th St
Ceres, CA 95307
Phone (209) 537-5068

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1073713434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 4TH ST.",
            "city": "CERES",
            "state": "CA",
            "postal_code": "95307",
            "telephone_number": "209-537-5068",
            "fax_number": "209-537-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222",
            "telephone_number": "209-537-5068",
            "fax_number": "209-537-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBOARD & GOVETT, DOCTORS OF CHIROPRACTIC, A PROFESSIONAL CORPORATION.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "GOVETT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "209-537-5068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0107740",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0107830",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC0107830",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC0107830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T04053",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T04058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.