Organization Active NPI

Knych Chiropractic Corp

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1992294300
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27467 Issued in CA
Legal business name
KNYCH CHIROPRACTIC CORP
Practice address
595 Buck Ave Ste C
Vacaville, CA 95688-3642
Phone
(707) 448-3008
Fax
(707) 448-6402
NPI assigned
May 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
John Knych, DCNPI 1295882074
Title
Owner/President/Chiropractor
Phone
(707) 448-3008

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 DC27467 CA Primary

Addresses

Primary practice location

595 Buck Ave Ste C
Vacaville, CA 95688-3642

Mailing address

595 Buck Ave Ste C
Vacaville, CA 95688-3642
Phone (707) 448-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702001714 CA Part B Supplier - Clinic/Group Practice 2062768211 Receives reassigned benefits from 1 practitioner
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

595 Buck Ave
Ste C
Vacaville, CA 95688
Phone (707) 448-3008

Practitioners & affiliated clinicians

Practitioners 1

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": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1992294300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BUCK AVE STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883642",
            "telephone_number": "707-448-3008",
            "fax_number": "707-448-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BUCK AVE STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883642",
            "telephone_number": "707-448-3008",
            "fax_number": "707-448-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNYCH CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "KNYCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "707-448-3008",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.