Active NPI
Deboard & Govett, Doctors of Chiropractic, a Professional Corporation.
- Chiropractor
- Ceres, CA
National Provider Identifier
1073713434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0107830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0107740 | CA | |
| Chiropractor | 111N00000X | DC0107830 | CA | Primary |
| Independent Medical Examiner Chiropractor | 111NI0013X | DC0107830 | CA | |
| Orthopedic Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T04053 | Medicaid | CA | |
| T04058 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.