Active NPI
Lyman Connolly, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1952478372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13989
- Practice address
- 5873 El Cajon Blvd
San Diego, CA 92115-3741 - Phone
- (619) 286-5352
- NPI assigned
- Nov 29, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 00 | CO | |
| Basic Emergency Medical Technician | 146N00000X | E152026 | CA | |
| Athletic Trainer | 2255A2300X | 9855511-4810 | UT | |
| Sports Physician Chiropractor | 111NS0005X | DIPLOMATE | CO | |
| Massage Therapist | 225700000X | DC13989 | CA | |
| Chiropractor | 111N00000X | DC13989 | CA | Primary |
Addresses
Primary practice location
5873 El Cajon Blvd
San Diego, CA 92115-3741
Mailing address
5873 El Cajon Blvd
San Diego, CA 92115-3741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC13989 | Other | CA | CALIF BOARD OF CHIROPRACTIC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00 | CO | MD | Sports Physician Chiropractor |
| DIPLOMATE | CO | MD | Sports Physician Chiropractor |
| E152026 | CA | MD | Basic Emergency Medical Technician |
| 9855511-4810 | UT | MD | Athletic Trainer |
| DC13989 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1952478372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5873 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5873 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153741",
"telephone_number": "619-286-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "LYMAN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2025-03-21",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "00",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": "E152026",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "9855511-4810",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "DIPLOMATE",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "DC13989",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF BOARD OF CHIROPRACTIC",
"identifier": "DC13989",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.