Individual provider Active NPI

Timothy Jay Losby, D.C.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1497102081
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4081 Issued in SC
Practice address
1221 Bower Pkwy
#108
Columbia, SC 29212-3732
Phone
(803) 708-4258
Fax
(803) 708-4373
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4081 SC Primary

Addresses

Primary practice location

1221 Bower Pkwy
#108
Columbia, SC 29212-3732

Mailing address

1221 Bower Pkwy
#108
Columbia, SC 29212-3732
Phone (803) 708-4258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809003445 SC Practitioner - Chiropractic 4284905274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5495 Sunset Blvd
Suite C
Lexington, SC 29072-7499
Phone (803) 403-6403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximized Living Lexington, LLC Chiropractor CurrentSince Jun 1, 2017 Accepting new patients
Capital City Chiropractic, LLC Chiropractor PastSince Jan 11, 2013 Accepting new patients
Capital City Chiropractic Chiropractor Past Accepting new patients

Locations

5495 Sunset Blvd
Ste C
Lexington, SC 29072
Phone (803) 403-6403

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1497102081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWER PKWY",
            "address_2": "#108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123732",
            "telephone_number": "803-708-4258",
            "fax_number": "803-708-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BOWER PKWY",
            "address_2": "#108",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123732",
            "telephone_number": "803-708-4258",
            "fax_number": "803-708-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSBY",
        "first_name": "TIMOTHY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.