Organization Active NPI

TJW Inc

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1447488077
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC014510 Issued in CA
Legal business name
TJW INC
Doing business as
Spinal Care Center of Stockton
Practice address
8829 Davis Rd
Suite 1
Stockton, CA 95209-1871
Phone
(209) 474-0506
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Timothy Adam Walth, DC
Title
Ceo
Phone
(209) 474-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC014510 CA Primary

Addresses

Primary practice location

8829 Davis Rd
Suite 1
Stockton, CA 95209-1871

Mailing address

8829 Davis Rd
Suite 1
Stockton, CA 95209-1871
Phone (209) 474-0506

Other names 1

  • Spinal Care Center of Stockton Doing business as

National Provider Directory

National Provider Directory

Locations

402 W Pine St
Lodi, CA 95240
Phone (209) 327-0528

8829 Davis Rd
Ste 1
Stockton, CA 95209
Phone (209) 474-0506

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1447488077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 DAVIS RD",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091871",
            "telephone_number": "209-474-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8829 DAVIS RD",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091871",
            "telephone_number": "209-474-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "WALTH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-474-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC014510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Care Center of Stockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.