Organization Active NPI

Packard Health Services, LLC

Doing business as Thornton Chiropractic

  • Clinic/Center
  • Auburn, CA
National Provider Identifier
1093992083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
33888 Issued in CA
Legal business name
PACKARD HEALTH SERVICES, LLC
Doing business as
Thornton Chiropractic
Practice address
10988 Combie Rd Ste 100
Auburn, CA 95602-8987
Phone
(530) 268-1386
NPI assigned
Jan 22, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dallan R Packard, D.C.NPI 1861421703
Title
Chiropractor
Phone
(530) 268-1386

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 33888 CA Primary

Addresses

Primary practice location

10988 Combie Rd Ste 100
Auburn, CA 95602-8987

Mailing address

10988 Combie Rd Ste 100
Auburn, CA 95602-8987
Phone (530) 268-1386

Other names 1

  • Thornton Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170915000468 CA Part B Supplier - Clinic/Group Practice 4486928363 Receives reassigned benefits from 1 practitioner
Practice locations: Foresthill, CA; Grass Valley, CA

National Provider Directory

National Provider Directory

Locations

10042 Wolf Rd
Ste A
Grass Valley, CA 95949
Phone (530) 268-1386

1121 E 3900 S
Ste 222
Salt Lake City, UT 84124
Phone (801) 505-4086

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093992083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10988 COMBIE RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028987",
            "telephone_number": "530-268-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10988 COMBIE RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028987",
            "telephone_number": "530-268-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "DALLAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "530-268-1386",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "33888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornton Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thornton Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.