Individual provider Active NPI

Donald Kenneth Liebell, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1154495521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001160 Issued in VA
Practice address
477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349
Phone
(757) 631-9799
Fax
(757) 631-9866
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001160 VA Primary

Addresses

Primary practice location

477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349

Mailing address

477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349
Phone (757) 631-9799

Other identifiers 1

IdentifierTypeStateIssuer
117658OtherVAANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000318 VA Practitioner - Chiropractic 2365508991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liebell Chiropractic IncGroup PAC ID 7113144056, 2 clinicians

Practice addresses (Care Compare)

477 Viking Dr
Virginia Beach, VA 23452-7356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001160VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Liebell Chiropractic Inc. Chiropractor CurrentSince Aug 11, 2014 Accepting new patients

Locations

477 Viking Dr
Ste 203
Virginia Beach, VA 23452
Phone (757) 631-9799

477 Viking Dr
Ste 170
Virginia Beach, VA 23452
Phone (757) 631-9799

477 Viking Dr
Ste 350
Virginia Beach, VA 23452
Phone (757) 631-9799

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154495521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 VIKING DR",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527349",
            "telephone_number": "757-631-9799",
            "fax_number": "757-631-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 VIKING DR",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527349",
            "telephone_number": "757-631-9799",
            "fax_number": "757-631-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBELL",
        "first_name": "DONALD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "117658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.