Individual provider Active NPI

Lynn C Bayly, DC

  • Chiropractor
  • Fayetteville, NY
National Provider Identifier
1942318787
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002484L Issued in PA
Practice address
7313 Highbridge Rd
Fayetteville, NY 13066-9779
Phone
(315) 637-2225
Fax
(315) 637-4308
NPI assigned
Aug 29, 2006
Last updated
Jul 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002484L PA Primary

Addresses

Primary practice location

7313 Highbridge Rd
Fayetteville, NY 13066-9779

Mailing address

7563 Broadfield Rd
Manlius, NY 13104-9608
Phone (315) 692-4295

Other identifiers 3

IdentifierTypeStateIssuer
196998OtherPABCBS
196998XN3OtherPAMEDICARE
102042340001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114001456 NY Practitioner - Chiropractic 1355241183 Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7313 Highbridge Rd
Fayetteville, NY 13066-9779
Phone (315) 637-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002484LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic Inc. Chiropractor PastSince Feb 19, 2017 Accepting new patients
Health Source of Great Bend Inc Chiropractor PastSince May 18, 2011 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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1942318787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7563 BROADFIELD RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049608",
            "telephone_number": "315-692-4295",
            "fax_number": "315-637-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 HIGHBRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669779",
            "telephone_number": "315-637-2225",
            "fax_number": "315-637-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLY",
        "first_name": "LYNN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002484L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "196998",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196998XN3",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102042340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; 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.