Organization Active NPI

Theriault Chiropractic

  • Chiropractor
  • Venice, FL
National Provider Identifier
1104523679
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THERIAULT CHIROPRACTIC
Practice address
1846 S Tamiami TRL Ste 1
Venice, FL 34293-3135
Phone
(941) 497-7005
Fax
(341) 493-6905
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Dr. James Theriault, DCNPI 1235143488
Title
Owner
Phone
(941) 497-7005

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

1846 S Tamiami TRL Ste 1
Venice, FL 34293-3135

Mailing address

1846 S Tamiami TRL Ste 1
Venice, FL 34293-3135
Phone (941) 497-7005

Other identifiers 1

IdentifierTypeStateIssuer
3467OtherFLDC

Other names 1

  • Dr. James Theriault Doing business as

National Provider Directory

National Provider Directory

Locations

1846 S Tamiami Trl
Ste 1
Venice, FL 34293
Phone (941) 497-7005

Practitioners & affiliated clinicians

Practitioners 1

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": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1104523679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 S TAMIAMI TRL STE 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933135",
            "telephone_number": "941-497-7005",
            "fax_number": "341-493-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 S TAMIAMI TRL STE 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933135",
            "telephone_number": "941-497-7005",
            "fax_number": "341-493-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERIAULT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-497-7005",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC",
            "identifier": "3467",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. James Theriault",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.