Active NPI
Thomas T Walter, D.C.
- Chiropractor
- Rocky Ford, CO
National Provider Identifier
1013105683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2462
- Practice address
- 418 N Main St
Rocky Ford, CO 81067-1256 - Phone
- (719) 254-7754
- NPI assigned
- Oct 9, 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 | 2462 | CO | Primary |
Addresses
Primary practice location
418 N Main St
Rocky Ford, CO 81067-1256
Mailing address
418 N Main St
Rocky Ford, CO 81067-1256
Phone (719) 254-7754
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Chiropractic | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Rocky Ford, CO
- NPI 1093991960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1013105683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 N MAIN ST",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810671256",
"telephone_number": "719-254-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N MAIN ST",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810671256",
"telephone_number": "719-254-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "THOMAS",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Ford, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.