DEWALD CHIROPRACTIC INC (NPI# 1225119142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225119142 |
| Entity Type | Organization |
| Organization Name | DEWALD CHIROPRACTIC INC |
| Practice Address |
1037 W Avenue N 101 Palmdale 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 | 2006-10-18 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | THOMAS DEWALD (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 6612663500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC21669 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ48855Z | 01 |
| Street Address |
1037 W AVENUE N 101 |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543947 | Christine Marie Dreisen | Nurse Practitioner | 1037 W Avenue N, Palmdale, CA 93551-2002 | 2018-10-13 |
| 1205256690 | Randi Ruela | Acupuncturist | 1037 W Avenue N, #101, Palmdale, CA 93551-2002 | 2014-04-24 |
| 1164719431 | Mariacristina Chrysikos Leone | Nurse Practitioner | 1037 W Avenue N, Suite 202, Palmdale, CA 93551-2002 | 2011-07-07 |
| 1760706873 | Brenda Hamel Burris | Social Worker | 1037 W Avenue N, Suite 205, Palmdale, CA 93551-2002 | 2010-03-18 |
| 1427219930 | Diane L. Cable | Marriage & Family Therapist | 1037 W Avenue N, Suite 205, Palmdale, CA 93551-2002 | 2008-06-18 |
| 1275708729 | Michael D. Cohen, M.d., Inc | Specialist | 1037 W Avenue N, Suite 102, Palmdale, CA 93551-2002 | 2008-04-25 |
| 1992997183 | Kristina Grace Leone | Case Manager/Care Coordinator | 1037 W Avenue N, Suite 205, Palmdale, CA 93551-2002 | 2007-08-13 |
| 1518044809 | Gerard Gary Edralin | Pediatrics | 1037 W Avenue N, Suite 202, Palmdale, CA 93551-2002 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198283 | Daniel Matthew Bartko | Chiropractor | 790 W Avenue Q Ste A, Palmdale, CA 93551-3768 | 2019-08-07 |
| 1033697743 | Frank Panoussi Chiropractic Corporation | Chiropractor | 38344 30th St E, Palmdale, CA 93550-4935 | 2018-08-03 |
| 1235588914 | Advanced Chiropractic Health Center | Chiropractor | 615 W Avenue Q Ste E, Palmdale, CA 93551-3887 | 2016-06-03 |
| 1669720124 | Randy Rein Doctor of Chiropractic Inc. | Chiropractor | 2720 E Palmdale Blvd Ste 123, Palmdale, CA 93550-4930 | 2012-08-15 |
| 1073712790 | Pacific Neuro Diagnostic Medical Group, Inc. | Chiropractor | 2361b E Palmdale Blvd, Palmdale, CA 93550-4910 | 2007-07-12 |
| 1033320346 | Christopher Jay Petersen | Chiropractor | 839 W Palmdale Blvd, Palmdale, CA 93551-4261 | 2007-05-25 |
| 1760503858 | Nikta Andalib | Chiropractor | 1020 E Palmdale Blvd, Suite 101c, Palmdale, CA 93550-4756 | 2007-04-03 |
| 1801976329 | Mooney & Shamsbod Chiropractic | Chiropractor | 2501 East Palmdale Blvd., Suite A, Palmdale, CA 93550-1346 | 2006-10-17 |
| 1184634107 | Center for Orthopedics & Rehabilitation Medical Group | Chiropractor | 1405 W Rancho Vista Blvd, Palmdale, CA 93551-3968 | 2006-08-09 |
| 1114952868 | John J Yang | Chiropractor | 38431 20th St E, Palmdale, CA 93550-4034 | 2006-07-11 |
| Find all providers in PALMDALE | ||||
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| 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.