Organization Active NPI

Walsh Chiropractic Center Inc

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1508083221
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALSH CHIROPRACTIC CENTER INC
Practice address
5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762
Phone
(925) 485-4534
Fax
(925) 846-2264
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Dr. Tara Renee Walsh, D.C.
Title
Co-Owner
Phone
(925) 485-4534

Specialties & licenses 1

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

Addresses

Primary practice location

5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762

Mailing address

5480 Sunol Blvd Ste 3
Pleasanton, CA 94566-7762
Phone (925) 485-4534

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ02042ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1508083221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 SUNOL BLVD STE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667762",
            "telephone_number": "925-485-4534",
            "fax_number": "925-846-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 SUNOL BLVD STE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667762",
            "telephone_number": "925-485-4534",
            "fax_number": "925-846-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "925-485-4534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02042Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

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