Active NPI
Johnathan Scott Threde, D.C.
- Chiropractor
- Walnut Creek, CA
National Provider Identifier
1588778500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0228720
- Practice address
- 2805 Jones Rd
Walnut Creek, CA 94597-7848 - Phone
- (925) 939-2224
- Fax
- (925) 332-0394
- NPI assigned
- Aug 18, 2006
- Last updated
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0228720 | CA | Primary |
Addresses
Primary practice location
2805 Jones Rd
Walnut Creek, CA 94597-7848
Mailing address
PO Box 2685
Walnut Creek, CA 94595-0685
Phone (925) 939-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120621000115 | CA | Practitioner - Chiropractic | 0345404489 | Practice locations: Walnut Creek, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2805 Jones Rd
Walnut Creek, CA 94597-7848
Phone (925) 939-2224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22872 | CA | MD | Clinical Social Worker |
| DC0228720 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1588778500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2685",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945950685",
"telephone_number": "925-939-2224",
"fax_number": "925-939-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 JONES RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945977848",
"telephone_number": "925-939-2224",
"fax_number": "925-332-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREDE",
"first_name": "JOHNATHAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0228720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
- Isabella Mary Thomspon
- Jay-Paul Thornburg, D.P.T.
- Consuella Connie Thorpe
- Georgina Marie Thorson
- Threde Chiropractic, Inc (Olympic Health Care)
- Thrifty Payless Inc (Rite Aid Pharmacy 05948)
- Through the Hayes Optometry Inc (For Your Eyes Only Optometry Center)
- Valerie Ann Thurston, C.M.T.
- Eugene Tibayan
- Tice Valley Community Healthcare, LLC (Tice Valley Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.