DR. CHAD J MORDECAI D.C.
NPI 1649633868
Chiropractor in Santa Rosa, CA

Q: What is Chad Mordecai's NPI number?

The NPI number for Chad Mordecai is 1649633868. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Chad Mordecai's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Mordecai was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2016

817 2ND ST, SANTA ROSA, CA 95404(707) 575-8929(707) 575-0573 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Chad J Mordecai D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAD J MORDECAI D.C. (NPI 1649633868) is an individual chiropractor in Santa Rosa, California, licensed in California (33500) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1649633868

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CHAD J MORDECAICredential: D.C.

Location Address817 2ND STSanta Rosa, CA 95404-4609

Mailing Address817 2nd StSanta Rosa, CA 95404-4609 · (707) 575-8929 · Fax (707) 575-0573

Phone(707) 575-8929

Fax(707) 575-0573

Sole ProprietorYes

Enumeration DateApril 4, 2016

✔ NPI 1649633868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 33500

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

817 2ND ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chad J Mordecai D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Chad Mordecai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile

Same address

Chiropractor

817 2ND ST
Santa Rosa, CA 95404

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1467432104 (707) 575-8929

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD A. MORDECAI D.C.

Chiropractor

817 2ND ST
SANTA ROSA, CA 95404

Sonoma County (707) 575-8929

DR. CHRISTINA M. DUMBADSE D.C.

Chiropractor

817 2ND ST
SANTA ROSA, CA 95404

Sonoma County (707) 575-8929

DR. MEGAN SHAY MORDECAI D.C.

Chiropractor

817 2ND ST
SANTA ROSA, CA 95404

Sonoma County (707) 575-8929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Mordecai's NPI number?

The NPI number for Chad Mordecai is 1649633868. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Chad Mordecai located?

Chad Mordecai practices at 817 2nd St, Santa Rosa, CA 95404. The listed phone number is (707) 575-8929.

What is Chad Mordecai's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chad Mordecai enrolled in Medicare?

Yes. Chad Mordecai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chad Mordecai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Mordecai reassigns Medicare benefits to (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Mordecai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chad Mordecai was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.