Individual provider Active NPI

John F Knych, D.C.

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1295882074
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-27467 Issued in CA
Practice address
595 Buck Ave Ste C
Vacaville, CA 95688-3642
Phone
(707) 448-3008
Fax
(707) 448-6402
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-27467 CA Primary

Addresses

Primary practice location

595 Buck Ave Ste C
Vacaville, CA 95688-3642

Mailing address

595 Buck Ave Ste C
Vacaville, CA 95688-3642
Phone (707) 448-3008

Other identifiers 1

IdentifierTypeStateIssuer
680476994OtherCATAX IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000076 CA Practitioner - Chiropractic 9931363538 Reassigns benefits to 1 organization
Practice locations: Vacaville, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 Buck Ave
Suite C
Vacaville, CA 95688-3642
Phone (707) 448-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27467CAMDClinical Psychologist
DC-27467CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knych Chiropractic Corp Chiropractor CurrentSince Jan 17, 2014 Accepting new patients

Locations

595 Buck Ave
Ste C
Vacaville, CA 95688
Phone (707) 448-3008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1295882074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BUCK AVE STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883642",
            "telephone_number": "707-448-3008",
            "fax_number": "707-448-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BUCK AVE STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883642",
            "telephone_number": "707-448-3008",
            "fax_number": "707-448-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNYCH",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-27467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "680476994",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.