Micah J Lieberman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00695400 Issued in NJ

Practice address

13642 Riverway Dr
Unit C
Chesterfield, MO 63017-2656

Phone

(908) 938-8323

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back and Body Pain Relief LLCGroup PAC ID 7517204407, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: micahlieberman@imci.allscriptsdirect.net

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.

• Back and Body Pain Relief LLC

  • Chiropractor
  • Springfield, NJ
  • NPI 1336656461
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1184903593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13642 RIVERWAY DR",
            "address_2": "UNIT C",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172656",
            "telephone_number": "908-938-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13642 RIVERWAY DR",
            "address_2": "UNIT C",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172656",
            "telephone_number": "908-938-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MICAH",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011026323",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00695400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley L Librach, M.D.
• Faye Licata, DMD FAGD PC
• Rayvlin John Talavera Liceralde, MD
• David S Lickerman, MD
• Stephanie Lickerman, APRN, ANP-BC
• Brandi Liebig, MS,CCC-SLP
• Life Care Home Health Services LLC
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
• Martin Light
• Mariko Lighthart, OTR

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.