Organization Active NPI

Kenneth a Thomas Chiropractic Inc.

Doing business as Eureka Square Chiropractic

  • Neurology Chiropractor
  • Pacifica, CA
National Provider Identifier
1548465420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
21822 Issued in CA
Legal business name
KENNETH A THOMAS CHIROPRACTIC INC.
Doing business as
Eureka Square Chiropractic
Practice address
320 Eureka SQ
Pacifica, CA 94044-2652
Phone
(650) 738-2225
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth A Thomas, D.C.NPI 1659361350
Title
Owner
Phone
(650) 738-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 21822 CA Primary

Addresses

Primary practice location

320 Eureka SQ
Pacifica, CA 94044-2652

Mailing address

320 Eureka SQ
Pacifica, CA 94044-2652

Other names 1

  • Eureka Square Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070629000296 CA Part B Supplier - Clinic/Group Practice 9032218136 Receives reassigned benefits from 2 practitioners
Practice locations: Pacifica, CA

National Provider Directory

National Provider Directory

Locations

320 Eureka Sq
Pacifica, CA 94044
Phone (650) 738-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548465420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EUREKA SQ",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EUREKA SQ",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442652",
            "telephone_number": "650-738-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A THOMAS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-738-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "21822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Square Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.