Charles Henry Decker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0183770 Issued in CA

Practice address

5570 Sanchez Dr Ste 100
San Jose, CA 95123-1119

Phone

(408) 262-7111

Fax

(408) 266-4872

NPI assigned

Mar 30, 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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carl F Dieter a Professional Chiropractic CorpGroup PAC ID 5991981474, 4 clinicians

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.

• Carl F Dieter a Professional Chiropractic Corp

  • Chiropractor
  • San Jose, CA
  • NPI 1174623250
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1710948690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 SANCHEZ DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231119",
            "telephone_number": "408-262-7111",
            "fax_number": "408-266-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 SANCHEZ DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231119",
            "telephone_number": "408-262-7111",
            "fax_number": "408-266-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "CHARLES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0183770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tekie Debrezion, MD
• Anthony David Debs, MD
• Sarah Debs
• Tanner Dec, RDN
• Niv E Decalo, M.D.
• Joseph Decker, M.D.
• Marlene None Decker, MFT
• Olga J Dedia, DMD
• Dee Ann Marx-Kelly
• Alaa Deeb, LMFT

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.