DR. TARESA MAE WHITTENBURG (NPI# 1316023914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316023914 |
| Entity Type | Individual |
| Full Name | DR. TARESA MAE WHITTENBURG |
| Other Name | DR. TARESA MAE JOY |
| Credential | DC |
| Practice Address |
1012 Carver Road Modesto CA 95350 |
| Practice Telephone | 2095492215 |
| Practice Fax Number | 2095492216 |
| Mailing Telephone | 2095492215 |
| Mailing Fax Number | 2095492216 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 20036 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BDC000520 | 05 | |
| CA LIC | 20036 | 01 |
| Street Address |
1012 CARVER ROAD |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659443141 | Rickie Edd Joy | Chiropractor | 1012 Carver Road, Modesto, CA 95350 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1629600697 | Clayton Conner Welch | Chiropractor | 1101 Standiford Ave Ste A6, Modesto, CA 95350-0981 | 2020-02-07 |
| 1821644048 | Cecelie Moses Hymes | Chiropractor | 1608 Sunrise Ave Ste D, Modesto, CA 95350-4678 | 2019-08-13 |
| 1639511462 | Jack R Morris Chiropractic Corp | Chiropractor | 3025 Mchenry Avenue, Suite F, Modesto, CA 95350-1456 | 2013-07-22 |
| 1558667626 | Rodney Laurence Quessenberry | Chiropractor | 2716 Chapel Ct, Modesto, CA 95355-3427 | 2011-02-07 |
| 1437467461 | Van Sieng Prom | Chiropractor | 1031 Mchenry Ave. Ste. 22, Modesto, CA 95350 | 2010-09-24 |
| 1124297882 | Timothy John Weimer | Chiropractor | 2813 Coffee Rd Bldg F, Modesto, CA 95355-1755 | 2008-02-27 |
| 1356539365 | Michael Lee Taylor | Chiropractor | 1421 Standiford Ave Ste B, Modesto, CA 95350-0730 | 2007-10-04 |
| 1154516284 | Robert Layzell Armstrong IIi | Chiropractor | 2125 Wylie Dr Ste 1, Modesto, CA 95355-3847 | 2007-09-11 |
| 1174737639 | George I Jacob Chiropractic, Inc | Chiropractor | 3516 Oakdale Rd, Suite C, Modesto, CA 95357-0727 | 2007-05-10 |
| 1306058896 | Ted Rosen Dc A Professional Chiropractic Corporation | Chiropractor | 409 Coffee Road, Modesto, CA 95355 | 2007-05-04 |
| Find all providers in MODESTO | ||||
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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.