Joel T Dekanich, DC, EMT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0995305 Issued in CO

Practice address

105 Edwards Village Blvd
Suite a-203
Edwards, CO 81632-9914

Phone

(970) 926-4600

Fax

(970) 926-4602

NPI assigned

Jan 29, 2007

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vail Med IncGroup PAC ID 1759344005, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vail Health Hospital Hospital, Vail, CO, CCN 060096

Medicare enrollment (NPD)

Enrolled

Credentials

Emergency Medical Technician, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vail Med Inc

  dba Vail Integrative Medical Group

  • Chiropractor
  • Edwards, CO
  • NPI 1851449920
  Medicare reassignment Care Compare group NPD Authorized official
• Eagle Integrated Medicine

  • Chiropractor
  • Eagle, CO
  • NPI 1407260318
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vail Clinic Inc

  dba Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  dba Beaver Creek Medical Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  dba Shaw Cancer Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1467598128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2637",
            "address_2": "0105 EDWARDS VILLAGE BL # A203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322637",
            "telephone_number": "970-926-4600",
            "fax_number": "970-926-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE A-203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816329914",
            "telephone_number": "970-926-4600",
            "fax_number": "970-926-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKANICH",
        "first_name": "JOEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995305",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "4050",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1637317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Dalthorp, MA
• Scott Daniel, LCSW
• Megan Davis, M.A., CCC-SLP
• Karen Susanne De la Harpe, OTR/L
• Janet Louise Declark
• Bruce G Delnay Jr., RPH
• Delvecchio Physical Therapy (GOAT Physical Therapy)
• Brooke Meryl Magstadt Delvecchio, PT, DPT, OCS
• Mark Stephen Delvecchio, PT, DPT
• Dennis Lipton, MD, PLLC

• Family Nurse Practitioner in Edwards, CO
• Providers in Edwards, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.