Organization Active NPI

Thomas M. Collins Chiropractic, Inc.

  • Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1053662353
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC17656 Issued in CA
Legal business name
THOMAS M. COLLINS CHIROPRACTIC, INC.
Practice address
1212 Farmers LN
Suite 2
Santa Rosa, CA 95405-6747
Phone
(707) 566-7396
Fax
(707) 566-7398
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. Thomas Michael Collins, DCNPI 1720276645
Title
Dr./Owner
Phone
(707) 566-7396

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
Clinic/Center 261Q00000X DC17656 CA Primary

Addresses

Primary practice location

1212 Farmers LN
Suite 2
Santa Rosa, CA 95405-6747

Mailing address

1212 Farmers LN
Suite 2
Santa Rosa, CA 95405-6747
Phone (707) 566-7396

National Provider Directory

National Provider Directory

Locations

1212 Farmers Ln
Ste 2
Santa Rosa, CA 95405
Phone (707) 566-7396

1212 Farmers Ln
Santa Rosa, CA 95405
Phone (707) 494-2294

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1053662353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 FARMERS LN",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056747",
            "telephone_number": "707-566-7396",
            "fax_number": "707-566-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FARMERS LN",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056747",
            "telephone_number": "707-566-7396",
            "fax_number": "707-566-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. COLLINS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "707-566-7396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC17656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.