Organization Active NPI

West Bay Chiropractic Center, P. C.

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1629150602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1029 Issued in AL
Legal business name
WEST BAY CHIROPRACTIC CENTER, P. C.
Practice address
5631 Cottage Hill Rd
Mobile, AL 36609-4210
Phone
(251) 661-3330
Fax
(251) 661-3317
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Judy A. Lipka, D.C.NPI 1396827366
Title
President
Phone
(251) 661-3330

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 1029 AL Primary

Addresses

Primary practice location

5631 Cottage Hill Rd
Mobile, AL 36609-4210

Mailing address

5631 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 661-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000143 AL Part B Supplier - Clinic/Group Practice 4688841505 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

5631 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 661-3330

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629150602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094210",
            "telephone_number": "251-661-3330",
            "fax_number": "251-661-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094210",
            "telephone_number": "251-661-3330",
            "fax_number": "251-661-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY CHIROPRACTIC CENTER, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPKA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-661-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.