Organization Active NPI

Lieffring Chiropractic, LTD.

  • Chiropractor
  • Cloquet, MN
National Provider Identifier
1164592507
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1532 Issued in MN
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

Updated by the provider on Jul 20, 2018

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1C026LIOtherMNBLUE CROSS MN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.