Organization Active NPI

Knightly Chiropractic, Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1952585200
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27792 Issued in CA
Legal business name
KNIGHTLY CHIROPRACTIC, INC.
Practice address
3627 30TH St
San Diego, CA 92104-3508
Phone
(619) 295-2141
Fax
(619) 295-2142
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Thomas Vincent Knightly, D.C.
Title
President
Phone
(619) 295-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27792 CA Primary

Addresses

Primary practice location

3627 30TH St
San Diego, CA 92104-3508

Mailing address

3627 30TH St
San Diego, CA 92104-3508
Phone (619) 295-2141

National Provider Directory

National Provider Directory

Locations

3627 30th St
San Diego, CA 92104
Phone (619) 295-2141

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1952585200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043508",
            "telephone_number": "619-295-2141",
            "fax_number": "619-295-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043508",
            "telephone_number": "619-295-2141",
            "fax_number": "619-295-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTLY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "KNIGHTLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27792",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2007; 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.