Liberal Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04874 Issued in KS

Legal business name

LIBERAL FAMILY CHIROPRACTIC INC

Practice address

2330 N Kansas Ave
Suite 5
Liberal, KS 67901-2372

Phone

(620) 624-7773

Fax

(620) 626-7396

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julio Jimenez, D.C.NPI 1063530319

Title

Owner/President

Phone

(620) 624-7773

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

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.

• Jose Uriel Estrada, D C

  • Chiropractor
  • Liberal, KS
  • NPI 1477891356
  Medicare reassignment NPD
• Julio Jimenez, D.C

  • Chiropractor
  • Liberal, KS
  • NPI 1063530319
  Authorized official Same address or phone
• Hubert Peterson, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Liberal, KS
  • NPI 1891766812
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1245485887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N. KANSAS AVE",
            "address_2": "SUITE 5",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-7773",
            "fax_number": "620-626-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N KANSAS AVE",
            "address_2": "SUITE 5",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012372",
            "telephone_number": "620-624-7773",
            "fax_number": "620-626-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "620-624-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "660035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "062047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher E Lewis
• William Lewis
• Liberal Anesthesia Consultants LLC
• Liberal Diagnostics, LLC
• Liberal Family Chiropractic
• Liberal Family Medicine, LLC
• Liberal Intensive Rehabilitation
• Liberal Med Link LLC (Med Link Mobility)
• Liberal SNF Op Co LLC (Wheatridge Park Care Center)
• Liberal Urgent Care LLC

• Chiropractor in Liberal, KS
• Providers in Liberal, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.