Individual provider Active NPI

Jared Martin Thomas, DC

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1144323122
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0287451 Issued in CA
Practice address
720 Sunrise Ave Ste 104B
Roseville, CA 95661-4508
Phone
(916) 780-1370
Fax
(916) 780-1413
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0287451 CA Primary

Addresses

Primary practice location

720 Sunrise Ave Ste 104B
Roseville, CA 95661-4508

Mailing address

720 Sunrise Ave Ste 104B
Roseville, CA 95661-4508
Phone (916) 780-1370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000145 CA Practitioner - Chiropractic 7911951850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

720 Sunrise Ave
Suite 104
Roseville, CA 95661-4516
Phone (916) 780-1370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28745CAMDClinical Social Worker
DC0287451CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jared Thomas Chiropractic Corporation, PC Chiropractor CurrentSince Jan 1, 2005 Accepting new patients
Putman Chiropractic Inc Chiropractor PastSince May 7, 2015 Accepting new patients

Locations

720 Sunrise Ave
Ste 104B
Roseville, CA 95661
Phone (916) 780-1370

408 Sunrise Ave
Ste 2
Roseville, CA 95661
Phone (916) 780-1370

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1144323122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 104B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614508",
            "telephone_number": "916-780-1370",
            "fax_number": "916-780-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 104B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614508",
            "telephone_number": "916-780-1370",
            "fax_number": "916-780-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JARED",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0287451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.