Dewald Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21669 Issued in CA

Legal business name

DEWALD CHIROPRACTIC INC

Practice address

1037 W Avenue N
101
Palmdale, CA 93551-2002

Phone

(661) 266-3500

Fax

(661) 266-3591

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Dewald, D.C.NPI 1194703827

Title

Doctor of Chiropractic

Phone

(661) 266-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas E Dewald, D.C.

  • Sports Physician Chiropractor
  • Lancaster, CA
  • NPI 1194703827
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1225119142",
    "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": "101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512002",
            "telephone_number": "661-266-3500",
            "fax_number": "661-266-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWALD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "DEWALD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "661-266-3500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ48855Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Palmdale, CA
• Providers in Palmdale, CA by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.