Organization Active NPI

Thrive Milpitas, a Kauffman Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Milpitas, CA
National Provider Identifier
1508239468
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
COR 3875 Issued in CA
Legal business name
THRIVE MILPITAS, A KAUFFMAN CHIROPRACTIC, INC.
Practice address
1136 Jacklin Rd
Milpitas, CA 95035-3700
Phone
(408) 262-1371
NPI assigned
Nov 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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

Authorized official

Name
Dr. Ryan Kauffman, D.C.NPI 1750354171
Title
President
Phone
(724) 591-0872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X COR 3875 CA Primary

Addresses

Primary practice location

1136 Jacklin Rd
Milpitas, CA 95035-3700

Mailing address

1136 Jacklin Rd
Milpitas, CA 95035-3700
Phone (408) 262-1371

Other identifiers 1

IdentifierTypeStateIssuer
FY168AOtherCAPROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160819000755 CA Part B Supplier - Clinic/Group Practice 2163717869 Receives reassigned benefits from 1 practitioner
Practice locations: Milpitas, CA

National Provider Directory

National Provider Directory

Locations

1136 Jacklin Rd
Milpitas, CA 95035
Phone (408) 262-1371

Practitioners & affiliated clinicians

Practitioners 4

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": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1508239468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 JACKLIN RD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353700",
            "telephone_number": "408-262-1371",
            "fax_number": "408-262-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 JACKLIN RD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353700",
            "telephone_number": "408-262-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MILPITAS, A KAUFFMAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-591-0872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "COR 3875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "FY168A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.