NPIMap

Organization Active NPI

Lewis Bay Chiropractic

  • Chiropractor
  • Hyannis, MA
National Provider Identifier
1831397264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
910 Issued in MA
Legal business name
LEWIS BAY CHIROPRACTIC
Practice address
83 Main St
Hyannis, MA 02601-3134
Phone
(508) 778-1050
Fax
(508) 790-3966
NPI assigned
Jul 6, 2007
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
Ms. Roberta Walcutt, D.C.NPI 1497883953
Title
Owner
Phone
(508) 778-1050

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 910 MA Primary

Addresses

Primary practice location

83 Main St
Hyannis, MA 02601-3134

Mailing address

83 Main St
Hyannis, MA 02601-3134
Phone (508) 778-1050

National Provider Directory

National Provider Directory

Locations

83 Main St
#J
Hyannis, MA 02601
Phone (508) 778-1050

Practitioners & affiliated clinicians

Practitioners 2

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831397264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013134",
            "telephone_number": "508-778-1050",
            "fax_number": "508-790-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013134",
            "telephone_number": "508-778-1050",
            "fax_number": "508-790-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS BAY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALCUTT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-778-1050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.