Active NPI
Thomas Robert Lightner, D.C.
- Chiropractor
- Burlingame, CA
National Provider Identifier
1356340046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29577
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC29577 | CA | MD | Chiropractor |
| 29577 | CA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas R Lightner | Chiropractor | Past | 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.