Provider Demographics
NPI:1699968511
Name:PARPART, DAVID RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RAYMOND
Last Name:PARPART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JACKLIN RD.
Mailing Address - Street 2:STE. A
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4555
Mailing Address - Country:US
Mailing Address - Phone:408-262-1371
Mailing Address - Fax:408-262-1321
Practice Address - Street 1:1000 JACKLIN RD
Practice Address - Street 2:STE. A
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4555
Practice Address - Country:US
Practice Address - Phone:408-262-1371
Practice Address - Fax:408-262-1321
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor