Organization Active NPI

American Chiropractic Wellness Center

  • Preferred Provider Organization
  • Thousand Oaks, CA
National Provider Identifier
1104183201
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DC27804 Issued in CA
Legal business name
AMERICAN CHIROPRACTIC WELLNESS CENTER
Practice address
1325 E. Thousand Oaks Blvd #104
Thousand Oaks, CA 91362
Phone
(805) 371-6144
Fax
(805) 371-6148
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mr. Michael Lane Lipsky, DCNPI 1417092677
Title
Owner
Phone
(805) 371-6144

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
Preferred Provider Organization 305R00000X DC27804 CA Primary

Addresses

Primary practice location

1325 E. Thousand Oaks Blvd #104
Thousand Oaks, CA 91362

Mailing address

1325 E. Thousand Oaks Blvd #104
Thousand Oaks, CA 91362
Phone (805) 371-6144

National Provider Directory

National Provider Directory

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": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1104183201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E. THOUSAND OAKS BLVD #104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-371-6144",
            "fax_number": "805-371-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E. THOUSAND OAKS BLVD #104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-371-6144",
            "fax_number": "805-371-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "LIPSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-371-6144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC27804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.