Debettencorp PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEBETTENCORP PLLC

Practice address

3255 N Major Dr Ste F
Beaumont, TX 77713-1010

Phone

(832) 709-9773

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Tanner Debettencourt, DCNPI 1235008178

Title

Owner

Phone

(832) 709-9773

Specialties & licenses 1

Addresses

Other names 1

• Roots Chiropractic & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner James Debettencourt, DC

  • Chiropractor
  • Beaumont, TX
  • NPI 1235008178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1144199290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 SUNFLOWER LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 N MAJOR DR STE F",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777131010",
            "telephone_number": "832-709-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBETTENCORP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "DEBETTENCOURT",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-709-9773",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sriya De Silva, MD
• Amy Jean Dean, RD LD
• Kevin L. Dean, M.D., F.A.C.S.
• Leticia Inez Dean, CPT
• Nikki Leigh Dearbonne, LVN
• Tanner James Debettencourt, DC
• Maddison Dedominico
• Dees Grief Coaching Services CGC
• Jennie Miller Dees, DDS
• Samantha C Deets

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.