Active NPI
Brett Patrick Decesare, D.C.
- Chiropractor
- Caruthers, CA
National Provider Identifier
1811074594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17579
- Practice address
- 13416 S. Oak
Caruthers, CA 93609 - Phone
- (559) 864-9457
- Fax
- (559) 864-0109
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17579 | CA | Primary |
Addresses
Primary practice location
13416 S. Oak
Caruthers, CA 93609
Mailing address
PO Box 787
Caruthers, CA 93609-0787
Phone (559) 864-9457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13416 S Oak
Caruthers, CA 93609
Phone (559) 864-9457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17579 | CA | MD | Chiropractor |
| 17579 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decesare Chiropractic Inc. | Chiropractor | Current | 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.
-
- Chiropractor
- Caruthers, CA
- NPI 1326353871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1811074594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 787",
"city": "CARUTHERS",
"state": "CA",
"postal_code": "936090787",
"telephone_number": "559-864-9457",
"fax_number": "559-864-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13416 S. OAK",
"city": "CARUTHERS",
"state": "CA",
"postal_code": "93609",
"telephone_number": "559-864-9457",
"fax_number": "559-864-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECESARE",
"first_name": "BRETT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caruthers, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.