NPIMap

Organization Active NPI

Lewis Bay Chiropractic Center, Inc

  • Chiropractor
  • Hyannis, MA
National Provider Identifier
1093143752
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
910 Issued in MA
Legal business name
LEWIS BAY CHIROPRACTIC CENTER, INC
Practice address
83 Main St
Hyannis, MA 02601-3134
Phone
(508) 778-1050
Fax
(508) 790-3966
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Roberta S Walcutt, DC
Title
Owner/DC
Phone
(508) 778-1050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 910 MA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 909 MA

Addresses

Primary practice location

83 Main St
Hyannis, MA 02601-3134

Mailing address

83 Main St
Hyannis, MA 02601-3134
Phone (508) 778-1050

National Provider Directory

National Provider Directory

Locations

83 Main St
Hyannis, MA 02601
Phone (507) 778-1050

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1093143752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013134",
            "telephone_number": "508-778-1050",
            "fax_number": "508-790-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013134",
            "telephone_number": "508-778-1050",
            "fax_number": "508-790-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS BAY CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "WALCUTT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "508-778-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "910",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.