Active NPI
Thomas Henrique, D.C.
- Chiropractor
- Clovis, CA
National Provider Identifier
1689928947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 12187
- Practice address
- 200 W Bullard Ave Ste E4
Clovis, CA 93612-7611 - Phone
- (559) 297-4000
- Fax
- (559) 297-4454
- NPI assigned
- Nov 7, 2012
- 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 | DC 12187 | CA | Primary |
Addresses
Primary practice location
200 W Bullard Ave Ste E4
Clovis, CA 93612-7611
Mailing address
111 W Bullard Ave Ste 102
Clovis, CA 93612-6313
Phone (559) 297-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 12187 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1689928947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W BULLARD AVE STE 102",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936126313",
"telephone_number": "559-297-4000",
"fax_number": "559-297-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W BULLARD AVE STE E4",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936127611",
"telephone_number": "559-297-4000",
"fax_number": "559-297-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUE",
"first_name": "THOMAS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 12187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.