Organization Active NPI

Dr. John Liddy, DC

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1043492549
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16468 Issued in CA
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

Updated by the provider on Nov 27, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DC16468OtherCASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Dr John Liddy DC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.