Individual provider Active NPI

Michael Jon Lipelt, DDS, ND, L.AC.

  • Acupuncturist
  • Sebastopol, CA
National Provider Identifier
1154463966
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5172 Issued in CA
Practice address
523 S Main St
Sebastopol, CA 95472-4262
Phone
(707) 829-2737
Fax
(707) 829-2736
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25168 CA
Acupuncturist 171100000X 5172 CA Primary
Naturopath 175F00000X 151 CA

Addresses

Primary practice location

523 S Main St
Sebastopol, CA 95472-4262

Mailing address

523 S Main St
Sebastopol, CA 95472-4262
Phone (707) 829-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25168CAMDDentist
5172CAMDAcupuncturist
151CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154463966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724262",
            "telephone_number": "707-829-2737",
            "fax_number": "707-829-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724262",
            "telephone_number": "707-829-2737",
            "fax_number": "707-829-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPELT",
        "first_name": "MICHAEL",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DDS, ND, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "25168",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5172",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.