Active NPI
TJW Inc
- Chiropractor
- Stockton, CA
National Provider Identifier
1447488077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC014510
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Physician Chiropractor
- Stockton, CA
- NPI 1881625515
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.