Organization Active NPI

Lieske Chiropractic PLLC

  • Chiropractor
  • Key West, FL
National Provider Identifier
1063874246
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11536 Issued in FL
Legal business name
LIESKE CHIROPRACTIC PLLC
Doing business as
White Street Chiropractic
Practice address
1217 White St
Key West, FL 33040-3367
Phone
(305) 292-7222
Fax
(888) 473-3112
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Bruce Harlen Lieske, DC
Title
Owner
Phone
(305) 292-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11536 FL Primary

Addresses

Primary practice location

1217 White St
Key West, FL 33040-3367

Mailing address

1217 White St
Key West, FL 33040-3367
Phone (305) 292-7222

Other names 1

  • White Street Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1217 White St
Key West, FL 33040
Phone (305) 292-7222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1063874246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WHITE ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403367",
            "telephone_number": "305-292-7222",
            "fax_number": "888-473-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WHITE ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403367",
            "telephone_number": "305-292-7222",
            "fax_number": "888-473-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESKE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "LIESKE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HARLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-292-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.