NPIMap

Organization Active NPI

Thomasjduncan

  • Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1902101769
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THOMASJDUNCAN
Practice address
6142 Kiser Dr
Huntington Beach, CA 92647-6459
Phone
(171) 495-5726
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Thomas Johnson Duncan
Title
Physical Therapist Assistant
Phone
(714) 955-7261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

6142 Kiser Dr
Huntington Beach, CA 92647-6459

Mailing address

6142 Kiser Dr
Huntington Beach, CA 92647-6459
Phone (171) 495-5726

Other identifiers 1

IdentifierTypeStateIssuer
N3432047OtherINDIVIDUAL PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Creative Health Solutions9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1902101769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 KISER DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476459",
            "telephone_number": "171-495-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 KISER DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476459",
            "telephone_number": "171-495-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASJDUNCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "17149557261"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER",
            "identifier": "N3432047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.