Individual provider Active NPI

Joseph John Thomas, DC

  • Chiropractor
  • Joshua, TX
National Provider Identifier
1508868449
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12472 Issued in TX
Practice address
332 N Broadway St
Joshua, TX 76058-3047
Phone
(817) 641-1313
Fax
(817) 641-1314
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008872 PA
Chiropractor 111N00000X 12472 TX Primary

Addresses

Primary practice location

332 N Broadway St
Joshua, TX 76058-3047

Mailing address

332 N Broadway St
Joshua, TX 76058-3047
Phone (817) 641-1313

Other identifiers 2

IdentifierTypeStateIssuer
0019172440001MedicaidPA
1394440OtherPABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326001244 TX Practitioner - Chiropractic 8224299839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

332 N Broadway St
Joshua, TX 76058-3047
Phone (817) 641-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Spine and Health Center, PC Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Bathgate Chiropractic PC Chiropractor Past Accepting new patients
CGC Health Solutions Inc Chiropractor PastSince Jan 1, 2014 Accepting new patients

Locations

332 N Broadway St
Joshua, TX 76058
Phone (817) 641-1313

Organizations & group practices 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1508868449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N BROADWAY ST",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760583047",
            "telephone_number": "817-641-1313",
            "fax_number": "817-641-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N BROADWAY ST",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760583047",
            "telephone_number": "817-641-1313",
            "fax_number": "817-641-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008872",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019172440001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1394440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.