Organization Active NPI

Lipinski Chiropractic, PA

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1205017407
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02055 Issued in MD
Legal business name
LIPINSKI CHIROPRACTIC, PA
Practice address
182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407
Phone
(301) 620-7111
Fax
(301) 620-2005
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Sebastian Lipinski, DCNPI 1851337745
Title
Chiropractor
Phone
(301) 620-7111

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 02055 MD Primary

Addresses

Primary practice location

182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407

Mailing address

182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407
Phone (301) 620-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060711000447 MD Part B Supplier - Clinic/Group Practice 4385657550 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

178 Thomas Johnson Dr
Ste 205
Frederick, MD 21702
Phone (301) 620-7111

182 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (301) 620-7111

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1205017407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-620-7111",
            "fax_number": "301-620-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-620-7111",
            "fax_number": "301-620-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPINSKI CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "LIPINSKI",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-620-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.