Charles Fred Decker, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2301009520 Issued in MI

Practice address

1324 S Park St Ste 3
Kalamazoo, MI 49001-2735

Phone

(269) 381-2800

Fax

(269) 381-2808

NPI assigned

Apr 30, 2007

Last updated

May 31, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soldano Family Chiropractic Center PLLC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1194986018
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1659591709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N DARTMOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063304",
            "telephone_number": "269-873-7815",
            "fax_number": "269-381-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S PARK ST STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012735",
            "telephone_number": "269-381-2800",
            "fax_number": "269-381-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "CHARLES",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "2301009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Debruyn, LLPC
• Weston Debuck
• Athena Decarlo
• Elizabeth Ann Decker-Hasan, L.L.P, L.P.C.
• Carolynn Beth Decker
• Danielle Decker, RN
• Kaylla Decker
• Ashley Decou, M.A.
• Michelle Deering
• Juanita G Defay, RN, BAS

• Sports Physician Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Sports Physician Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.