Pacific Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACIFIC FAMILY CHIROPRACTIC

Practice address

123 Main St
Vista, CA 92084-6007

Phone

(760) 643-9191

Fax

(760) 643-9299

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin W Dette, DCNPI 1639171705

Title

Owner

Phone

(760) 643-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin William Dette, D.C.

  • Chiropractor
  • Vista, CA
  • NPI 1639171705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1891449807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846007",
            "telephone_number": "760-643-9191",
            "fax_number": "760-643-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846007",
            "telephone_number": "760-643-9191",
            "fax_number": "760-643-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "DETTE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-643-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Owens III, RBT
• Joel Allan Oxman
• Elizabeth Helene Pabisz, MPT
• Martha Pace
• Jessica Floriana Pachon
• Pacific View OB-GYN Medical Group Inc (North County Women's Specialists)
• Pacifica East Lake LLC (Rancho Vista Senior Living)
• Pacifica Regency Palms LLC (Alta Vista Senior Living)
• Krista Paddock
• Maritza Adriana Padilla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.