Active NPI
Thomas Reau Bodette, D.C.
- Chiropractor
- Oxnard, CA
National Provider Identifier
1962673319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29544
- Practice address
- 1530 W Gonzales Rd
122
Oxnard, CA 93036-2702 - Phone
- (408) 691-4722
- NPI assigned
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 29544 | CA | Primary |
Addresses
Primary practice location
1530 W Gonzales Rd
122
Oxnard, CA 93036-2702
Mailing address
1530 W Gonzales Rd
122
Oxnard, CA 93036-2702
Phone (408) 691-4722
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 |
|---|---|---|---|
| 29544 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1962673319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 W GONZALES RD",
"address_2": "122",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362702",
"telephone_number": "408-691-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 W GONZALES RD",
"address_2": "122",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362702",
"telephone_number": "408-691-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODETTE",
"first_name": "THOMAS",
"middle_name": "REAU",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.