NPIMap

Organization Active NPI

Liberty Chiropractic P.C.

  • Chiropractor
  • Bedford, VA
National Provider Identifier
1285792176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555903 Issued in VA
Legal business name
LIBERTY CHIROPRACTIC P.C.
Practice address
804 E Main St
Ste A2
Bedford, VA 24523-2919
Phone
(540) 587-0200
Fax
(540) 587-0935
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M Earsing, DCNPI 1184725582
Title
President
Phone
(540) 587-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555903 VA Primary

Addresses

Primary practice location

804 E Main St
Ste A2
Bedford, VA 24523-2919

Mailing address

804 E Main St
Ste A2
Bedford, VA 24523-2919
Phone (540) 587-0200

Other identifiers 6

IdentifierTypeStateIssuer
14149312OtherVAWAUSAU
244963OtherVAANTHEM
$$$$$$$$$OtherVASSN
650305OtherVAACN
5727348002OtherVACIGNA
7005206OtherVAAETNA

National Provider Directory

National Provider Directory

Locations

804 E Main St
Ste A2
Bedford, VA 24523
Phone (540) 587-0200

810 Blue Ridge Ave
Bedford, VA 24523
Phone (540) 587-0200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285792176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E MAIN ST",
            "address_2": "STE A2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232919",
            "telephone_number": "540-587-0200",
            "fax_number": "540-587-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E MAIN ST",
            "address_2": "STE A2",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232919",
            "telephone_number": "540-587-0200",
            "fax_number": "540-587-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARSING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-587-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU",
            "identifier": "14149312",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "244963",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "650305",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5727348002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7005206",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.