THOMAS E DEWALD


Address: 1037 W Avenue N, Suite 101, Lancaster, CA 93551-2002
Phone: 6612663500

THOMAS E DEWALD (NPI# 1194703827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194703827
Entity Type Individual
Full Name THOMAS E DEWALD
Credential D.C.
Practice Address 1037 W Avenue N
Suite 101
Lancaster
CA 93551-2002
Mailing Address 1037 W Avenue N Ste 101
Palmdale
CA 93551-2002
Practice Telephone 6612663500
Practice Fax Number 6612663591
Mailing Telephone 6612663500
Mailing Fax Number 6612663591
Enumeration Date 2006-01-03
Last Update Date 2012-08-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
DC021669 CA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DC021669 05

Office Location

Street Address 1037 W AVENUE N
SUITE 101
City LANCASTER
State CA
Zip Code 93551-2002

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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952538514 Kelly Ann Tomasulo Chiropractor 1523 W Avenue J Ste 7, Lancaster, CA 93534-2819 2009-06-22
1174558340 John A Griffin Chiropractor 210 West Ave J, Lancaster, CA 93534-3684 2006-07-12
1265608947 Gelfound Chiropractic Corporation Chiropractor 1629 W Avenue J, Suite 101, Lancaster, CA 93534-2830 2008-05-02
1245373810 Paul Michael Pettay Chiropractor 2323 Oregon Pike, Lancaster, PA 17601-4608 2007-02-14
1730260878 Craig Joel Gelfound Chiropractor 1629 West Avenue J, Suite 101, Lancaster, CA 93534-2850 2006-10-17

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1932758679 Johnnie C Morgan Iv Chiropractor 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 2019-09-05
1386291920 Ar'neka Montford Chiropractor 7109 Cardenas Way, Sacramento, CA 95828-3935 2019-08-19
1811459738 Garrett Neill Chiropractor 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 2019-04-01
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Competitor

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City LANCASTER
Zip Code 93551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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