Active NPI
Thomas Vincent Knightly, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1174253124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27792
- Practice address
- 2333 1St Ave Ste 101
San Diego, CA 92101-1538 - Phone
- (619) 865-0228
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27792 | CA | Primary |
Addresses
Primary practice location
2333 1St Ave Ste 101
San Diego, CA 92101-1538
Mailing address
2333 1St Ave Ste 101
San Diego, CA 92101-1538
Phone (619) 865-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27792 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1174253124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 1ST AVE STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011538",
"telephone_number": "619-865-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 1ST AVE STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011538",
"telephone_number": "619-865-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTLY",
"first_name": "THOMAS",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.