Individual provider Active NPI

Tommy Lee Wolf, D.C.

  • Chiropractor
  • Concord, CA
National Provider Identifier
1639512205
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32493 Issued in CA
Practice address
4180 Treat Blvd Ste 1a
Concord, CA 94518-1848
Phone
(925) 759-9722
NPI assigned
Apr 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32493 CA Primary

Addresses

Primary practice location

4180 Treat Blvd Ste 1a
Concord, CA 94518-1848

Mailing address

4180 Treat Blvd Ste 1a
Concord, CA 94518-1848
Phone (925) 759-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001679 CA Practitioner - Chiropractic 1759507320 Reassigns benefits to 1 organization
Practice locations: Concord, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1849 Willow Pass Rd
Suite 450
Concord, CA 94520-2524
Phone (925) 566-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32493CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Chiropractic Center Inc. Chiropractor CurrentSince May 31, 2016 Accepting new patients

Locations

1849 Willow Pass Rd
Ste 450
Concord, CA 94520
Phone (925) 566-8881

Organizations & group practices 1

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1639512205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 TREAT BLVD STE 1A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181848",
            "telephone_number": "925-759-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 TREAT BLVD STE 1A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181848",
            "telephone_number": "925-759-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TOMMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.