Thomas E Dewald, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC021669 Issued in CA

Practice address

1037 W Avenue N
Suite 101
Lancaster, CA 93551-2002

Phone

(661) 266-3500

Fax

(661) 266-3591

NPI assigned

Jan 3, 2006

Last updated

Aug 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dewald Chiropractic Inc

  • Chiropractor
  • Palmdale, CA
  • NPI 1225119142
  Medicare reassignment NPD Authorized official
• Randi Ruela

  dba Inner Qi Wellness Inc

  • Acupuncturist
  • Corona, CA
  • NPI 1205256690
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1194703827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W AVENUE N STE 101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512002",
            "telephone_number": "661-266-3500",
            "fax_number": "661-266-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W AVENUE N",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935512002",
            "telephone_number": "661-266-3500",
            "fax_number": "661-266-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC021669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC021669",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Deutsch, M.D.
• Patricia Deux-Sasaki, RN
• Stephanie Devaney, MD
• Carol Devargas, CADC II, CAMS II
• Deborah Ann Devine, LCSW
• Mike Singh Dhaliwal, M.D.
• Sara Saroj Dhamija, M.D.
• Thana Dhanaphibul, PHARMD.
• Prathana Dhar, OD
• Prithviraj Dharmaraja, M.D.

• Sports Physician Chiropractor in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.