Healthcare Provider Details

I. General information

NPI: 1952447526
Provider Name (Legal Business Name): THOMAS KEITH PAIGE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 W ROBINHOOD DR STE B9
STOCKTON CA
95207-5629
US

IV. Provider business mailing address

1151 W ROBINHOOD DR STE B9
STOCKTON CA
95207-5629
US

V. Phone/Fax

Practice location:
  • Phone: 916-847-9563
  • Fax: 209-834-5157
Mailing address:
  • Phone: 916-847-9563
  • Fax: 209-834-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: