Michael Lane Lipsky, DC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DC27804 Issued in CA

Practice address

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

Phone

(805) 371-6144

Fax

(805) 371-6148

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Chiropractic Wellness Center

  • Preferred Provider Organization
  • Thousand Oaks, CA
  • NPI 1104183201
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1417092677",
    "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": {
        "last_name": "LIPSKY",
        "first_name": "MICHAEL",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC 27804",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC27804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DC 27804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Linder
• Kelsey Lindsey, NP
• Elvira Alexandrovna Lindwall, M.D.
• Anton Linnemeier
• Jia-Kae Joseph Liou, D.D.S.
• Verna Silky Li Don Liss, MD
• Joey Liu, M.D.
• Kaidi Liu, LMFT
• Ruihai Liu, L.AC DAOM
• Esteban M Lizarraga, NONE

• Preferred Provider Organization in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Preferred Provider Organization in California

• 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.