Active NPI
Donald L Liss, D.C
- Chiropractor
- Brentwood, NY
National Provider Identifier
1003134255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008364-1
- Practice address
- 1799 Brentwood Rd
Brentwood, NY 11717-4611 - Phone
- (631) 434-6685
- Fax
- (631) 434-8575
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008364-1 | NY | Primary |
Addresses
Primary practice location
1799 Brentwood Rd
Brentwood, NY 11717-4611
Mailing address
1799 Brentwood Rd
Brentwood, NY 11717-4611
Phone (631) 434-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008364-1 | NY | MD | Chiropractor |
| 008364 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1003134255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1799 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174611",
"telephone_number": "631-434-6685",
"fax_number": "631-434-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174611",
"telephone_number": "631-434-6685",
"fax_number": "631-434-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "DONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008364-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.