Individual provider Active NPI

Kenneth M Decker II, DC

  • Chiropractor
  • Smyrna, DE
National Provider Identifier
1801933874
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000524 Issued in DE
Practice address
100 S Main St
Suite 218
Smyrna, DE 19977-1477
Phone
(302) 378-8915
Fax
(302) 378-8916
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000524 DE Primary

Addresses

Primary practice location

100 S Main St
Suite 218
Smyrna, DE 19977-1477

Mailing address

100 S. Main St
Suite 218
Smyrna, DE 19977-1477
Phone (302) 389-8915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706001073 DE Practitioner - Chiropractic 1850378068 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Wellness of Smyrna, LLCGroup PAC ID 0941345912, 4 clinicians
Pure Wellness of Middletown LLCGroup PAC ID 9436409968, 2 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 104
Newark, DE 19713-2154

699 S Carter Rd
Unit 5
Smyrna, DE 19977-7754
Phone (302) 389-8915

708 Ash Blvd
Middletown, DE 19709-8871
Phone (302) 449-0149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000524DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness, LLC Chiropractor CurrentSince Feb 15, 2010 Accepting new patients
Pure Wellness of Middletown, LLC Chiropractor CurrentSince Sep 22, 2024 Accepting new patients
Pure Wellness of Wilmington, LLC Chiropractor CurrentSince Nov 21, 2012 Accepting new patients
Pure Wellness of Smyrna, LLC Chiropractor CurrentSince Feb 15, 2010 Accepting new patients
Hope Chiropractic and Wellness Chiropractor Past Accepting new patients
Pure Wellness of Camden, LLC Chiropractor PastSince Feb 13, 2022 Accepting new patients
Zweiacher Chiropractic Services Chiropractor PastSince May 1, 2013 Accepting new patients

Locations

4608 S DuPont Hwy
Ste 3
Dover, DE 19901
Phone (302) 213-6116

708 Ash Blvd
Middletown, DE 19709
Phone (302) 365-6520

77 Milford Neck Rd
Ste 101
Milford, DE 19963
Phone (302) 215-0313

1 Centurian Dr
Ste 104
Newark, DE 19713
Phone (302) 365-6520

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

100 S Main St
Ste 218
Smyrna, DE 19977
Phone (302) 389-8915

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520

2106 Silverside Rd
Ste 102
Wilmington, DE 19810
Phone (302) 478-8099

2106 Silverside Rd
Ste 101
Wilmington, DE 19810

1010 N Bancroft Pkwy
Ste 102
Wilmington, DE 19805
Phone (302) 543-5679

Organizations & group practices 7

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1801933874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. MAIN ST",
            "address_2": "SUITE 218",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771477",
            "telephone_number": "302-389-8915",
            "fax_number": "302-389-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 218",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771477",
            "telephone_number": "302-378-8915",
            "fax_number": "302-378-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.