Individual provider Active NPI

David Clayton Thomas, D.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1790173920
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8427 Issued in AZ
Practice address
9744 W Northern Ave
Ste 1355
Peoria, AZ 85345-4603
Phone
(623) 806-1255
Fax
(480) 223-1194
NPI assigned
Dec 22, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8427 AZ Primary

Addresses

Primary practice location

9744 W Northern Ave
Ste 1355
Peoria, AZ 85345-4603

Mailing address

2030 W Baseline Rd
Ste 182
Phoenix, AZ 85041-6574
Phone (415) 841-3175

Other names 1

  • David James Kowaluk Former name

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

LicenseStateTypeSpecialty
8427AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1790173920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD",
            "address_2": "STE 182",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "415-841-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 W NORTHERN AVE",
            "address_2": "STE 1355",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454603",
            "telephone_number": "623-806-1255",
            "fax_number": "480-223-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "CLAYTON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "KOWALUK",
            "middle_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.