Individual provider Active NPI

Arthur Leon Charette, DC QME

  • Chiropractor
  • Sonoma, CA
National Provider Identifier
1689672099
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23764 Issued in CA
Practice address
587 5TH St W
Sonoma, CA 95476-6831
Phone
(707) 935-1006
Fax
(707) 935-7291
NPI assigned
Jul 9, 2005
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23764 CA Primary
Sports Physician Chiropractor 111NS0005X 23764 CA
Occupational Health Chiropractor 111NX0100X 23764 CA

Addresses

Primary practice location

587 5TH St W
Sonoma, CA 95476-6831

Mailing address

587 5TH St W
Sonoma, CA 95476-6831
Phone (707) 935-1006

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23764CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dobson Chiropractic, Inc. Chiropractor CurrentSince Oct 14, 2020 Accepting new patients

Locations

587 5th St W
Sonoma, CA 95476
Phone (707) 935-1006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1689672099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 5TH ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766831",
            "telephone_number": "707-935-1006",
            "fax_number": "707-935-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 5TH ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766831",
            "telephone_number": "707-935-1006",
            "fax_number": "707-935-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "ARTHUR",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DC QME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23764",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "23764",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "23764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.