Active NPI
Dr. John Liddy, DC
- Chiropractor
- West Hollywood, CA
National Provider Identifier
1043492549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16468
- Legal business name
- DR. JOHN LIDDY, DC
- Practice address
- 606 Westmount Dr
West Hollywood, CA 90069-5108 - Phone
- (310) 659-1959
- Fax
- (310) 659-4769
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Felicia Thomas
- Title
- Owner Billing Service
- Phone
- (858) 504-0595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC16468 | CA | Primary |
Addresses
Primary practice location
606 Westmount Dr
West Hollywood, CA 90069-5108
Mailing address
8581 Santa Monica Blvd # 406
West Hollywood, CA 90069-4120
Phone (310) 659-1959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC16468 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Dr John Liddy DC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Chiropractor
- West Hollywood, CA
- NPI 1366701203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1043492549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8581 SANTA MONICA BLVD # 406",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694120",
"telephone_number": "310-659-1959",
"fax_number": "310-659-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WESTMOUNT DR",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695108",
"telephone_number": "310-659-1959",
"fax_number": "310-659-4769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOHN LIDDY, DC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "FELICIA",
"authorized_official_title_or_position": "OWNER BILLING SERVICE",
"authorized_official_telephone_number": "858-504-0595",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC16468",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.