Individual provider Active NPI

Maria Decosse, DC

  • Chiropractor
  • Nevada City, CA
National Provider Identifier
1447755590
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33890 Issued in CA
Practice address
530 Searls Ave Ste C
Nevada City, CA 95959-3048
Phone
(530) 648-0668
Fax
(530) 687-8261
NPI assigned
Mar 29, 2018
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33890 CA Primary

Addresses

Primary practice location

530 Searls Ave Ste C
Nevada City, CA 95959-3048

Mailing address

530 Searls Ave Ste C
Nevada City, CA 95959-3048
Phone (530) 648-0668

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33890CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1447755590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SEARLS AVE STE C",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593048",
            "telephone_number": "530-648-0668",
            "fax_number": "530-687-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SEARLS AVE STE C",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593048",
            "telephone_number": "530-648-0668",
            "fax_number": "530-687-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSSE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.