Organization Active NPI

Thomas R Lightner

  • Chiropractor
  • Millbrae, CA
National Provider Identifier
1881831162
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC295770 Issued in CA
Legal business name
THOMAS R LIGHTNER
Practice address
1301 Broadway
Ste 11
Millbrae, CA 94030-1336
Phone
(650) 583-3813
Fax
(650) 583-6695
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Thomas R Lightner, DCNPI 1356340046
Title
Owner
Phone
(650) 583-3813

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC295770 CA Primary

Addresses

Primary practice location

1301 Broadway
Ste 11
Millbrae, CA 94030-1336

Mailing address

1301 Broadway
Ste 11
Millbrae, CA 94030-1336
Phone (650) 583-3813

Other names 1

  • BACK TO MOTION CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1881831162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BROADWAY",
            "address_2": "STE 11",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301336",
            "telephone_number": "650-583-3813",
            "fax_number": "650-583-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BROADWAY",
            "address_2": "STE 11",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301336",
            "telephone_number": "650-583-3813",
            "fax_number": "650-583-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R LIGHTNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "LIGHTNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-583-3813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC295770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACK TO MOTION CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.