William Thomas Cudmore Jr., DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC21595 Issued in CA

Practice address

7200 S Land Park Dr
Suite 200
Sacramento, CA 95831-3668

Phone

(916) 424-0828

Fax

(916) 424-1128

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1720018690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313668",
            "telephone_number": "916-424-0828",
            "fax_number": "916-424-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313668",
            "telephone_number": "916-424-0828",
            "fax_number": "916-424-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDMORE",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC21595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Catherine Cuccia
• Gina L Cuccia
• Danica Shea Cucciare, OTR/L
• Milagros Nino Cudal
• Jacqueline Cuddy
• Annette Cuellar Arredondo
• Brenda Cuellar
• Davina Cuellar
• Erica Cuellar
• Carlos Rodrigo Cuenca, MD

• Sports Physician Chiropractor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.