Active NPI
Lanny Aven Decker, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1992990964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7522
- Practice address
- 2642 E Thomas Rd
Phoenix, AZ 85016-8243 - Phone
- (602) 957-7733
- Fax
- (602) 957-8911
- NPI assigned
- Sep 12, 2007
- 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 | 7522 | AZ | Primary |
Addresses
Primary practice location
2642 E Thomas Rd
Phoenix, AZ 85016-8243
Mailing address
4225 N 21St St Unit 19
Phoenix, AZ 85016-6161
Phone (602) 770-6927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7522 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1992990964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 N 21ST ST UNIT 19",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166161",
"telephone_number": "602-770-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2642 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168243",
"telephone_number": "602-957-7733",
"fax_number": "602-957-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "LANNY",
"middle_name": "AVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.