Individual provider Active NPI

Stone Dylan Thomas, DC

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1679255269
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36717 Issued in CA
Practice address
1835 Newport Blvd Suite D-263,
10
Costa Mesa, CA 92627-9262
Phone
(949) 205-9265
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36717 CA Primary

Addresses

Primary practice location

1835 Newport Blvd Suite D-263,
10
Costa Mesa, CA 92627-9262

Mailing address

1835 Newport Blvd Suite D-263,
10
Costa Mesa, CA 92627
Phone (949) 996-7166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319003118 CA Practitioner - Chiropractic 2769904770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36717CAMDChiropractor
36717CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiropractic Thomas Apc Chiropractor CurrentSince Jan 20, 2025 Accepting new patients
100 Chiro Livingood Jen and Bren PC Inc Apc Chiropractor Current Accepting new patients

Locations

1835 Newport Blvd
Ste D263
Costa Mesa, CA 92627
Phone (949) 205-9265

Organizations & group practices 2

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1679255269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD SUITE D-263,",
            "address_2": "10",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-996-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD SUITE D-263,",
            "address_2": "10",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926279262",
            "telephone_number": "949-205-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STONE",
        "middle_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.