Individual provider Active NPI

Deborah Debastiani Whittaker, D.C.

  • Chiropractor
  • South Hadley, MA
National Provider Identifier
1730216169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1770 Issued in MA
Practice address
130 College St
Suite 50
South Hadley, MA 01075-1493
Phone
(413) 532-1177
Fax
(413) 532-3466
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1770 MA Primary

Addresses

Primary practice location

130 College St
Suite 50
South Hadley, MA 01075-1493

Mailing address

130 College St
Suite 50
South Hadley, MA 01075-1493
Phone (413) 532-1177

Other identifiers 1

IdentifierTypeStateIssuer
439552OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Deborah Debastiani Professional name

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
1770MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Relief and Wellness Center of South Hadley Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730216169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "address_2": "SUITE 50",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751493",
            "telephone_number": "413-532-1177",
            "fax_number": "413-532-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "address_2": "SUITE 50",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751493",
            "telephone_number": "413-532-1177",
            "fax_number": "413-532-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "DEBORAH",
        "middle_name": "DEBASTIANI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "439552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DEBASTIANI",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Hadley, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.