Individual provider Active NPI

Gregory Alan Decamp, D.C.

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1790768067
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001836 Issued in WA
Practice address
610 N Mission St
Suite 102
Wenatchee, WA 98801-2065
Phone
(509) 662-4711
Fax
(509) 662-2800
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001836 WA Primary

Addresses

Primary practice location

610 N Mission St
Suite 102
Wenatchee, WA 98801-2065

Mailing address

610 N Mission St
Suite 102
Wenatchee, WA 98801-2065
Phone (509) 662-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000131 WA Practitioner - Chiropractic 5890723191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decamp-Lewis Chiropractic Clinic, PLLCGroup PAC ID 6204724842, 5 clinicians

Practice addresses (Care Compare)

610 N Mission St
Suite 102
Wenatchee, WA 98801-6612
Phone (509) 662-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00001836WAMDChiropractor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1790768067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST",
            "address_2": "SUITE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012065",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST",
            "address_2": "SUITE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012065",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMP",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.