Active NPI
Robert J Decubellis DC PA
- Nutrition Chiropractor
- Sarasota, FL
National Provider Identifier
1447571906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH 5969
- Legal business name
- ROBERT J DECUBELLIS DC PA
- Practice address
- 2546 Bee Ridge Rd
Sarasota, FL 34239-6413 - Phone
- (941) 925-2889
- Fax
- (941) 925-2889
- NPI assigned
- Jun 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert J Decubellis, DC
- Title
- Owner
- Phone
- (941) 925-2889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH 5969 | FL | Primary |
Addresses
Primary practice location
2546 Bee Ridge Rd
Sarasota, FL 34239-6413
Mailing address
2546 Bee Ridge Rd
Sarasota, FL 34239-6413
Phone (941) 925-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2546 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 925-2889
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Chiropractor
- Sarasota, FL
- NPI 1225192057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276819200000",
"number": "1447571906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396413",
"telephone_number": "941-925-2889",
"fax_number": "941-925-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2546 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396413",
"telephone_number": "941-925-2889",
"fax_number": "941-925-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J DECUBELLIS DC PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A",
"authorized_official_last_name": "DECUBELLIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-925-2889",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH 5969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.