Shawn Thomas Kidd, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC 31281 Issued in CA

Practice address

613 Westlake St Ste 125a
Encinitas, CA 92024-3866

Phone

(760) 230-1228

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Shawn Kidd Chiropractic Inc.

  dba SK Chiropractic

  • Chiropractor
  • Encinitas, CA
  • NPI 1538789177
  NPD Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1801022199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WESTLAKE ST STE 125A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243866",
            "telephone_number": "760-230-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WESTLAKE ST STE 125A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243866",
            "telephone_number": "760-230-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 31281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renuka Kharkar, M.D.
• Datis Kharrazian, D.C., D.H.SC.
• Wendy Ann Khentigan, MD
• Avid Khorram, PHD
• Sarah Khorram, CNM
• Monica Ann Kieffer, D.O.
• Ray J. Kieffer Jr., DDS
• Alexia Killen
• Ashley Ann Kim, RD
• Gordon L. Kim, M.D.

• Sports Physician Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.