Organization Active NPI

David a Decker MD

Doing business as Cancer Care Associates PC

  • Non-Pharmacy Dispensing Site
  • Royal Oak, MI
National Provider Identifier
1437257433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
4301041127 Issued in MI
Legal business name
DAVID A DECKER MD
Doing business as
Cancer Care Associates PC
Practice address
3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710
Phone
(245) 997-9000
Fax
(248) 997-9007
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy Whitfield
Title
Medical SVCS MNGR
Phone
(248) 997-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 4301041127 MI Primary

Addresses

Primary practice location

3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710

Mailing address

3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710

Other identifiers 1

IdentifierTypeStateIssuer
2367325OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • CANCER CARE ASSOCIATES PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cancer Care Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073
Phone (248) 551-6900

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437257433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "STE 404",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "STE 404",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "245-997-9000",
            "fax_number": "248-997-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A DECKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MEDICAL SVCS MNGR",
        "authorized_official_telephone_number": "248-997-9000"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "4301041127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANCER CARE ASSOCIATES PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.