Individual provider Active NPI

Thomas Duayne Talburt, D.C.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1235494139
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60282072 Issued in WA
Practice address
2711 E Main
Puyallup, WA 98372-3165
Phone
(253) 527-8888
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60282072 WA Primary

Addresses

Primary practice location

2711 E Main
Puyallup, WA 98372-3165

Mailing address

2711 E Main
Puyallup, WA 98372-3165
Phone (206) 550-3615

Other identifiers 1

IdentifierTypeStateIssuer
CH 60282072OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Other names 1

  • Mr. Thomas Duayne Talburt Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000513 WA Practitioner - Chiropractic 0244477032 Practice locations: Puyallup, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2711 E Main
Puyallup, WA 98372-3165
Phone 25352788880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60282072WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Chiropractic PC Chiropractor PastSince Jun 23, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1235494139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723165",
            "telephone_number": "206-550-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723165",
            "telephone_number": "253-527-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBURT",
        "first_name": "THOMAS",
        "middle_name": "DUAYNE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60282072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "CH 60282072",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "TALBURT",
            "middle_name": "DUAYNE",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.