Individual provider Active NPI

Thomas Robert Lightner, D.C.

  • Chiropractor
  • Burlingame, CA
National Provider Identifier
1356340046
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29577 Issued in CA
Practice address
851 Burlway Rd
Suite 166
Burlingame, CA 94010-1720
Phone
(650) 644-1355
Fax
(650) 558-9390
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29577 CA Primary

Addresses

Primary practice location

851 Burlway Rd
Suite 166
Burlingame, CA 94010-1720

Mailing address

851 Burlway Rd
Suite 166
Burlingame, CA 94010-1720
Phone (650) 644-1355

Other names 1

  • Mr. Thomas Owen Funk Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29577CAMDChiropractor
29577CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R Lightner Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1356340046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BURLWAY RD",
            "address_2": "SUITE 166",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101720",
            "telephone_number": "650-644-1355",
            "fax_number": "650-558-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BURLWAY RD",
            "address_2": "SUITE 166",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101720",
            "telephone_number": "650-644-1355",
            "fax_number": "650-558-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "FUNK",
            "middle_name": "OWEN",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.