Martin St John Decourcy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0103967 Issued in KS

Practice address

10425 Marty St
Overland Park, KS 66212-2569

Phone

(913) 383-3031

Fax

(913) 383-3041

NPI assigned

Aug 24, 2006

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

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Decourcy Chiropractic Clinic PA

  • Chiropractor
  • Overland Park, KS
  • NPI 1609070606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710094974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 MARTY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122569",
            "telephone_number": "913-383-3031",
            "fax_number": "913-383-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 MARTY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122569",
            "telephone_number": "913-383-3031",
            "fax_number": "913-383-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOURCY",
        "first_name": "MARTIN",
        "middle_name": "ST JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Deboest
• John Richard Decarlis, LCSW-C
• Linda D. Decarlo, ARNP
• Decker Integrated Orthotics and Prosthetics, LLC
• Decourcy Chiropractic Clinic PA
• Deer Creek Behavioral Health Services
• Deer Creek Behavioral Health Services
• Deer Creek Family Dental
• Deer Creek Surgery Center, LLC
• Jessica Deeter

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.