Wayne a Lyssy, DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1482 Issued in AL

Legal business name

WAYNE A LYSSY, DC PC

Practice address

112 Industrial Pkwy
Saraland, AL 36571-3702

Phone

(251) 675-5407

Fax

(251) 679-9722

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Anthony Lyssy, DCNPI 1285686493

Title

Owner

Phone

(251) 675-5407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SARALAND CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Wayne Anthony Lyssy, D.C.

  • Chiropractor
  • Saraland, AL
  • NPI 1285686493
  Medicare reassignment Authorized official
• Ryan M Lawrence, D.C.

  • Chiropractor
  • Spanish Fort, AL
  • NPI 1336107739
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1306962196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 INDUSTRIAL PKWY",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713702",
            "telephone_number": "251-675-5407",
            "fax_number": "251-679-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INDUSTRIAL PKWY",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713702",
            "telephone_number": "251-675-5407",
            "fax_number": "251-679-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A LYSSY, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "LYSSY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-675-5407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAYNE A LYSSY",
            "identifier": "000098638",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARALAND CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jason Robbins West, M.D.
• Margaret M Whitehurst, P.A.
• Kimberly Wiliams
• Constance Nichole Williams

• Chiropractor in Saraland, AL
• Providers in Saraland, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.