Individual provider Active NPI

Mary Anne Jessica Taylor-Lamb, DC

  • Chiropractor
  • Brewerton, NY
National Provider Identifier
1538130596
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006570 Issued in NY
Practice address
5500 Bartel Rd
Brewerton, NY 13029-8792
Phone
(315) 676-4655
Fax
(315) 655-4044
NPI assigned
Jan 29, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006570 NY Primary

Addresses

Primary practice location

5500 Bartel Rd
Brewerton, NY 13029-8792

Mailing address

5500 Bartel Rd
Brewerton, NY 13029-8792
Phone (315) 676-4655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000335 NY Practitioner - Chiropractic 4688835861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BC Chiropractic Offices PCGroup PAC ID 7810158094, 2 clinicians

Practice addresses (Care Compare)

5500 Bartell Rd
Brewerton, NY 13029-8792
Phone (315) 676-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lamb Chiropractic Cny, PLLC Chiropractor CurrentSince Sep 23, 2024 Accepting new patients
BC Chiropractic Offices PC Chiropractor CurrentSince Feb 1, 1997 Accepting new patients

Organizations & group practices 2

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": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1538130596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298792",
            "telephone_number": "315-676-4655",
            "fax_number": "315-655-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298792",
            "telephone_number": "315-676-4655",
            "fax_number": "315-655-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-LAMB",
        "first_name": "MARY ANNE",
        "middle_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-29",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "006570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewerton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.