Delaire Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21666 Issued in CA

Legal business name

DELAIRE CHIROPRACTIC CLINIC INC

Practice address

27620 Landau Blvd
Ste. 1
Cathedral City, CA 92234-5540

Phone

(760) 320-4123

Fax

(760) 320-0801

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ronald John Delaire, DCNPI 1104889492

Title

President

Phone

(760) 320-4123

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Ronald John Delaire, DC

  • Chiropractor
  • Cathedral City, CA
  • NPI 1104889492
  Medicare reassignment NPD Authorized official
• Patrick Jacob Van Loon, DC

  • Chiropractor
  • Palm Desert, CA
  • NPI 1437425204
  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1154795912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 LANDAU BLVD",
            "address_2": "STE. 1",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345540",
            "telephone_number": "760-320-4123",
            "fax_number": "760-320-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 LANDAU BLVD",
            "address_2": "STE. 1",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345540",
            "telephone_number": "760-320-4123",
            "fax_number": "760-320-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAIRE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "DELAIRE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-320-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DCO216660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Christina Davis
• Michael Day, D.C.
• Jailord De la Cruz, PT
• Michael Baron Dean, R.N.
• Nancy Del Castillo
• Ronald John Delaire, DC
• Genelyn Jove Delector, DC
• Desert City Hospice Care Inc
• Desert Cypress Eldercare, Inc.
• Desert Diabetes and Nutrition Care LLC

• Chiropractor in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.