Provider Demographics
NPI:1407036155
Name:DAVID PARPART
Entity Type:Organization
Organization Name:DAVID PARPART
Other - Org Name:THRIVING LIFE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:PARPART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-262-1371
Mailing Address - Street 1:260 S SUNNYVALE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6273
Mailing Address - Country:US
Mailing Address - Phone:408-329-9409
Mailing Address - Fax:408-701-0083
Practice Address - Street 1:260 S SUNNYVALE AVE STE 2
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6273
Practice Address - Country:US
Practice Address - Phone:408-329-9609
Practice Address - Fax:408-701-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-10
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty