Organization Active NPI

Coykendall Chiropractic Inc

Doing business as Valley Chiropractic Center of Tracy

  • Chiropractor
  • Tracy, CA
National Provider Identifier
1033677406
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COYKENDALL CHIROPRACTIC INC
Doing business as
Valley Chiropractic Center of Tracy
Practice address
438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone
(209) 832-9221
Fax
(209) 832-9297
NPI assigned
Mar 5, 2019
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Timothy J Coykendall, DCNPI 1871533497
Title
Owner/Doctor
Phone
(209) 832-9221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

438 W Beverly PL Ste 101
Tracy, CA 95376-3011

Mailing address

438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone (209) 832-9221

Other names 1

  • Valley Chiropractic Center of Tracy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907000503 CA Part B Supplier - Clinic/Group Practice 0042674202 Receives reassigned benefits from 3 practitioners
Practice locations: Tracy, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1033677406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W BEVERLY PL STE 101",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763011",
            "telephone_number": "209-832-9221",
            "fax_number": "209-832-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W BEVERLY PL STE 101",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763011",
            "telephone_number": "209-832-9221",
            "fax_number": "209-832-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYKENDALL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "COYKENDALL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "209-832-9221",
        "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": [
        {
            "organization_name": "Valley Chiropractic Center of Tracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.