Active NPI
James Vincent Theriault, D.C.
- Chiropractor
- Venice, FL
National Provider Identifier
1235143488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003467
- Practice address
- 1846 Tamiami TRL S
Unit 101
Venice, FL 34293-3135 - Phone
- (941) 497-7005
- Fax
- (941) 493-6905
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0003467 | FL | Primary |
Addresses
Primary practice location
1846 Tamiami TRL S
Unit 101
Venice, FL 34293-3135
Mailing address
1846 Tamiami TRL S
Unit 1
Venice, FL 34293-3135
Phone (941) 497-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927001471 | FL | Practitioner - Chiropractic | 5294851267 | Practice locations: Venice, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1846 S Tamiami Trial
Unit 101
Venice, FL 34293
Phone (941) 497-7005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0003467 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theriault Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
1846 S Tamiami Trl
Ste 1
Venice, FL 34293
Phone (941) 497-7005
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1235143488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1846 TAMIAMI TRL S",
"address_2": "UNIT 1",
"city": "VENICE",
"state": "FL",
"postal_code": "342933135",
"telephone_number": "941-497-7005",
"fax_number": "941-493-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 TAMIAMI TRL S",
"address_2": "UNIT 101",
"city": "VENICE",
"state": "FL",
"postal_code": "342933135",
"telephone_number": "941-497-7005",
"fax_number": "941-493-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERIAULT",
"first_name": "JAMES",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 3, 2011; 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.