Mark De Dubovay, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC17394 Issued in CA

Practice address

14340 Bolsa Chica Rd Ste G
Westminster, CA 92683

Phone

(562) 795-6680

Fax

(562) 799-9575

NPI assigned

Jun 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Allen Arnette Lac

  • Acupuncturist
  • Long Beach, CA
  • NPI 1558785485
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1790714160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE G",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834868",
            "telephone_number": "562-795-6680",
            "fax_number": "562-799-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE G",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "562-795-6680",
            "fax_number": "562-799-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DUBOVAY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD LICENSE NO.",
            "identifier": "DC0173940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Nguyen DDS Ms Inc
• Jose Hilario David Jr.
• Antonious Dawood, DMD
• Dca Invest LLC
• De Dubovay Chiropractic, Inc.
• William De Guzman
• Teresa De la Rosa, LCSW
• Vivian De Leon
• De Nguyen DDS, PC
• Donna Mae Harue De Wit, P.T.

• Chiropractor in Westminster, CA
• Providers in Westminster, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.