NPIMap

Organization Active NPI

Dequevedo Chiropractic

  • Chiropractor
  • Avoca, PA
National Provider Identifier
1972707016
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008824 Issued in PA
Legal business name
DEQUEVEDO CHIROPRACTIC
Practice address
PO Box 5172
Avoca, PA 18641-0172
Phone
(570) 451-3404
Fax
(570) 451-3407
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Nestor Garcia Dequevedo, DC
Title
Chiropractor
Phone
(570) 451-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008824 PA Primary

Addresses

Primary practice location

PO Box 5172
Avoca, PA 18641-0172

Mailing address

PO Box 5172
Avoca, PA 18641
Phone (570) 451-3404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1972707016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5172",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "18641",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5172",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186410172",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEQUEVEDO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DEQUEVEDO",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "570-451-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "008824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avoca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.