Active NPI
Lieffring Chiropractic, LTD.
- Chiropractor
- Cloquet, MN
National Provider Identifier
1164592507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1532
- Legal business name
- LIEFFRING CHIROPRACTIC, LTD.
- Practice address
- 1219 14TH St Ste C
Cloquet, MN 55720-3703 - Phone
- (218) 878-0895
- Fax
- (218) 485-8941
- NPI assigned
- Nov 9, 2006
- 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
- Dr. Mark Joseph Lieffring, D.C.
- Title
- President
- Phone
- (218) 485-8688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1532 | MN | Primary |
Addresses
Primary practice location
1219 14TH St Ste C
Cloquet, MN 55720-3703
Mailing address
1219 14TH St Ste C
Cloquet, MN 55720-3703
Phone (218) 878-0895
Other practice location 1
111 Arrowhead Lane
Moose Lake, MN 55767
Phone (218) 485-8688
Other practice location 2
111 Arrowhead Lane
Moose Lake, MN 55767
Phone (218) 485-8688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C026LI | Other | MN | BLUE CROSS MN |
National Provider Directory
National Provider DirectoryLocations
1219 14th St
Ste C
Cloquet, MN 55720
Phone (218) 878-0895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532044800000",
"number": "1164592507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 14TH ST STE C",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203703",
"telephone_number": "218-878-0895",
"fax_number": "218-485-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 14TH ST STE C",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203703",
"telephone_number": "218-878-0895",
"fax_number": "218-485-8941"
}
],
"practiceLocations": [
{
"address_1": "111 Arrowhead Lane",
"address_purpose": "LOCATION",
"city": "Moose Lake",
"state": "MN",
"postal_code": "55767",
"country_code": "US",
"telephone_number": "218-485-8688",
"fax_number": "218-485-8941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Arrowhead Lane",
"address_purpose": "LOCATION",
"city": "Moose Lake",
"state": "MN",
"postal_code": "55767",
"country_code": "US",
"telephone_number": "218-485-8688",
"fax_number": "218-485-8941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIEFFRING CHIROPRACTIC, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2018-07-20",
"status": "A",
"authorized_official_last_name": "LIEFFRING",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-485-8688",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "1532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MN",
"identifier": "1C026LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.