Individual provider Active NPI

Sylvain A Desaulniers, DC

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1265654446
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18015 Issued in CA
Practice address
451 Parkfair Dr Ste 4
Sacramento, CA 95864-7249
Phone
(916) 484-6882
Fax
(916) 914-2464
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC18015 CA Primary

Addresses

Primary practice location

451 Parkfair Dr Ste 4
Sacramento, CA 95864-7249

Mailing address

451 Parkfair Dr Ste 4
Sacramento, CA 95864-7249
Phone (916) 484-6882

Other names 1

  • Syl Desaulniers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC18015CAMDChiropractor
18015CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1265654446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PARKFAIR DR STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647249",
            "telephone_number": "916-484-6882",
            "fax_number": "916-914-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PARKFAIR DR STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647249",
            "telephone_number": "916-484-6882",
            "fax_number": "916-914-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAULNIERS",
        "first_name": "SYLVAIN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYL",
            "last_name": "DESAULNIERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.