Liberty Horizon Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIBERTY HORIZON INC

Doing business as

HealthSource of North Provo

Practice address

2255 N University Pkwy Ste 25
Provo, UT 84604-1579

Phone

(801) 867-1234

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Hopkins

Title

Owner

Phone

(210) 259-9741

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of North Provo Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin Michael Creer, DC

  • Sports Physician Chiropractor
  • Orem, UT
  • NPI 1306578653
  Medicare reassignment NPD
• Robert Charles Miller, DC

  • Chiropractor
  • Pleasant Grove, UT
  • NPI 1134531775
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1225857196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N UNIVERSITY PKWY STE 25",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041579",
            "telephone_number": "801-867-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N UNIVERSITY PKWY STE 25",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041579",
            "telephone_number": "801-867-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HORIZON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-259-9741"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of North Provo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Lewis
• Matthew Lewis
• Micaela Lewis
• Todd J Lewis, OD
• Tao Li, MD
• Marcia Kay Lidtke, FNP-C
• Allison Liechty, SSW
• Louise Lierman
• Life Enhancement Center
• Life Enhancement Center

• Chiropractor in Provo, UT
• Providers in Provo, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.