Michael Charles Lipkin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 11964 Issued in CA

Practice address

2877 Lake Tahoe Blvd
Suite B
So Lake Tahoe, CA 96150

Phone

(530) 544-8495

Fax

(530) 544-5306

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Summit to Shore Chiropractic

  • Chiropractor
  • South Lake Tahoe, CA
  • NPI 1962875096
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902989585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD",
            "address_2": "SUITE B",
            "city": "SO LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-544-8495",
            "fax_number": "530-544-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD",
            "address_2": "SUITE B",
            "city": "SO LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-544-8495",
            "fax_number": "530-544-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 11964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Beck, OD
• Holly L Cook, D.D.S.
• Katie Anne Harrison, LMT CST
• Lake Tahoe Eye Care Optometry Inc
• Steven J. McNamara, MD
• Kenneth D Rumack, DC
• Michael Patrick Sullivan, MD

• Chiropractor in So Lake Tahoe, CA
• Providers in So Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.