Individual provider Active NPI

Lloyd Decker III, D.C.

  • Chiropractor
  • Durango, CO
National Provider Identifier
1104122530
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6811 Issued in CO
Practice address
679 E 2ND Ave Unit 10
Durango, CO 81301-5564
Phone
(970) 764-4244
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-6811 CO
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6811 CO Primary

Addresses

Primary practice location

679 E 2ND Ave Unit 10
Durango, CO 81301-5564

Mailing address

679 E 2ND Ave Unit 10
Durango, CO 81301
Phone (970) 764-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180322001744 NV Practitioner - Chiropractic 8729222401 Reassigns benefits to 1 organization
I20230908000183 OR Practitioner - Chiropractic 8729222401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regen Or 3 clinicians
Regen Providers 5 clinicians

Practice addresses (Care Compare)

2286 Oakmont Way
Eugene, OR 97401-5519
Phone (541) 484-5777

730 Sandhill Rd
Suite 120
Reno, NV 89521-8962
Phone (775) 683-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR-6811COMDChiropractor
6811COMDGeneral Practice Dentistry

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Regen Providers Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Absolute Wellness, PC Chiropractor PastSince Dec 23, 2024 Accepting new patients

Locations

415 US Highway 95A S
Ste E503
Fernley, NV 89408
Phone (775) 575-9922

730 Sandhill Rd
Ste 120
Reno, NV 89521
Phone (775) 234-2361

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1104122530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E 2ND AVE UNIT 10",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-764-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E 2ND AVE UNIT 10",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015564",
            "telephone_number": "970-764-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6811",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.