Decubellis Wellness Center LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH9644 Issued in FL

Legal business name

DECUBELLIS WELLNESS CENTER LLC

Practice address

7337 Little Rd
New Port Richey, FL 34654-5521

Phone

(727) 842-4476

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Tim Decubellis, D.C.

Title

Chiropractic Physician

Phone

(727) 842-4476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Adam Decubellis, D.C.

  • Chiropractor
  • New Port Richey, FL
  • NPI 1326286949
  Medicare reassignment NPD

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1629453402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545521",
            "telephone_number": "727-842-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545521",
            "telephone_number": "727-842-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECUBELLIS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "DECUBELLIS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "727-842-4476",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn Dreams Anesthesia LLC
• Beth Debella, PA-C
• Deborah Smith LCSW PA
• Dawn Marie Decker-Bowe, APRN
• Decubellis Chiropractic and Accident Injury Center PA
• James A Decubellis, DC
• Timothy Adam Decubellis, D.C.
• Ryan Dedels, DMD
• Dedicated Angel, Inc.
• Dedicated Angel, Inc.

• Sports Physician Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.

Verify at the official NPI Registry.