Individual provider Active NPI

Sebastian Lipinski, D.C.

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1851337745
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02055 Issued in MD
Practice address
182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407
Phone
(301) 620-7111
Fax
(301) 620-2005
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 02055 MD Primary

Addresses

Primary practice location

182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407

Mailing address

182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4407
Phone (301) 620-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000057 MD Practitioner - Chiropractic 0749293918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

182 Thomas Johnson Dr
Suite 201
Frederick, MD 21702-4553
Phone (301) 620-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lipinski Chiropractic, PA Chiropractor CurrentSince Mar 12, 2002 Accepting new patients

Locations

182 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (301) 620-7111

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1851337745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-620-7111",
            "fax_number": "301-620-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-620-7111",
            "fax_number": "301-620-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKI",
        "first_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.