Organization Active NPI

Threde Chiropractic, Inc

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1205081171
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA228272DC Issued in CA
Legal business name
THREDE CHIROPRACTIC, INC
Doing business as
Olympic Health Care
Practice address
1908 Olympic Blvd
Walnut Creek, CA 94596-5023
Phone
(925) 939-2224
Fax
(925) 939-7683
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Johnathon Scott Threde, D.C.
Title
Owner
Phone
(925) 939-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CA228272DC CA Primary

Addresses

Primary practice location

1908 Olympic Blvd
Walnut Creek, CA 94596-5023

Mailing address

1908 Olympic Blvd
Walnut Creek, CA 94596-5023
Phone (925) 939-2224

Other names 1

  • Olympic Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

1908 Olympic Blvd
Walnut Creek, CA 94596
Phone (925) 280-8210

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1205081171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 OLYMPIC BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965023",
            "telephone_number": "925-939-2224",
            "fax_number": "925-939-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 OLYMPIC BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965023",
            "telephone_number": "925-939-2224",
            "fax_number": "925-939-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREDE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "THREDE",
        "authorized_official_first_name": "JOHNATHON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-939-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA228272DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.