Individual provider Active NPI

Bari Liebowitz, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1073548939
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4005 Issued in OR
Practice address
516 SW 13TH St Ste 102
Bend, OR 97702-3442
Phone
(541) 728-0689
Fax
(541) 728-0815
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27119 CA
Chiropractor 111N00000X 4005 OR Primary

Addresses

Primary practice location

516 SW 13TH St Ste 102
Bend, OR 97702-3442

Mailing address

516 SW 13TH St Ste 102
Bend, OR 97702-3442
Phone (541) 728-0689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126001298 OR Practitioner - Chiropractic 2567508062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Total Body Chiropractic PCGroup PAC ID 1850651548, 2 clinicians

Practice addresses (Care Compare)

516 SW 13TH St
Suite 102
Bend, OR 97702-3442
Phone (541) 728-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4005ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Chiropractic PC CurrentSince Feb 25, 2018 Accepting new patients
Palmer College of Chiropractic West Chiropractor PastSince Mar 23, 2005 Accepting new patients

Locations

516 SW 13th St
Ste 102
Bend, OR 97702
Phone (541) 728-0689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1073548939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-728-0689",
            "fax_number": "541-728-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-728-0689",
            "fax_number": "541-728-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBOWITZ",
        "first_name": "BARI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27119",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.