NPIMap

Individual provider Active NPI

Chun Y Tham, DC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1740264142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11917 Issued in TX
Practice address
14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731
Phone
(210) 281-4188
Fax
(210) 281-4195
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60119619 WA
Chiropractor 111N00000X 273269 OR
Chiropractor 111N00000X CHIA 1275 ID
Chiropractor 111N00000X 11917 TX Primary

Addresses

Primary practice location

14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731

Mailing address

14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731
Phone (210) 281-4188

Other practice location 1

1117 Clear Lake City Blvd
Houston, TX 77062
Phone (832) 224-4735

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3269ORMDClinical Social Worker
CHIA 1275IDMDChiropractor
273269ORMDChiropractor
CH 60119619WAMDChiropractor
11917TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primetrack Health LLC Chiropractor Past Accepting new patients
Paul Edward Okamoto Chiropractor Past Accepting new patients
Trinity Physical Therapy Inc. PastSince Feb 29, 2016 Accepting new patients
Tx770911-002, LLC Chiropractor PastSince Feb 15, 2011 Accepting new patients

Organizations & group practices 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740264142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-281-4188",
            "fax_number": "210-281-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-281-4188",
            "fax_number": "210-281-4195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Clear Lake City Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77062",
            "country_code": "US",
            "telephone_number": "832-224-4735",
            "fax_number": "832-224-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAM",
        "first_name": "CHUN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60119619",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273269",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 1275",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.