Lips Chiropractic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIPS CHIROPRACTIC INC

Practice address

1540 Hwy 116 S
Sebastopol, CA 95472-4835

Phone

(707) 200-3194

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Lips Wangerin, DCNPI 1619405727

Title

President

Phone

(314) 609-4694

Specialties & licenses 1

Addresses

Other names 1

• Featherstone Family Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lips Wangerin, DC

  • Chiropractor
  • Sebastopol, CA
  • NPI 1619405727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1124823885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WESTVIEW WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HWY 116 S",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724835",
            "telephone_number": "707-200-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "WANGERIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LIPS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-609-4694",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Featherstone Family Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Levandoski, LCSW
• Eileen Patricia Leveckis, AMFT, APCC
• Emilio Licea III, PSYD
• Emily Linders, LMFT
• Michael Jon Lipelt, DDS, ND, L.AC.
• Live Oak Rest Home
• Longs Drug Stores California LLC
• Joaquin Lopez de San Roman
• Maya Lopez, LCSW
• James Arthur Lowy, MD

• Clinic/Center in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.