Organization Active NPI

J Liu Chiropractic Corporation

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1215386354
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-131611 Issued in CA
Legal business name
J LIU CHIROPRACTIC CORPORATION
Doing business as
Element Chiropractic Wellness
Practice address
68 Harold Ave
Suite 101
Santa Clara, CA 95050-2026
Phone
(408) 246-1738
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Jennifer Liu, DC
Title
Owner
Phone
(408) 246-1738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-131611 CA Primary

Addresses

Primary practice location

68 Harold Ave
Suite 101
Santa Clara, CA 95050-2026

Mailing address

68 Harold Ave
Suite 101
Santa Clara, CA 95050-2026
Phone (408) 246-1738

Other names 1

  • Element Chiropractic Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208001965 CA Part B Supplier - Clinic/Group Practice 1557644903 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

68 Harold Ave
Ste 101
Santa Clara, CA 95050
Phone (408) 246-1738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1215386354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HAROLD AVE",
            "address_2": "SUITE 101",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502026",
            "telephone_number": "408-246-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAROLD AVE",
            "address_2": "SUITE 101",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502026",
            "telephone_number": "408-246-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J LIU CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-246-1738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-131611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Element Chiropractic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.