Individual provider Active NPI

Cheryl Ann Lieurance, D.C.

  • Chiropractor
  • Cassopolis, MI
National Provider Identifier
1295892420
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005525 Issued in MI
Practice address
412 E State St
Cassopolis, MI 49031-1330
Phone
(264) 445-2249
Fax
(269) 445-8294
NPI assigned
Jan 3, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005525 MI Primary

Addresses

Primary practice location

412 E State St
Cassopolis, MI 49031-1330

Mailing address

PO Box 173
Cassopolis, MI 49031-0173
Phone (269) 445-2249

Other identifiers 1

IdentifierTypeStateIssuer
0A450190OtherMIBLUE CROSS I.D.#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000086 MI Practitioner - Chiropractic 3072681634 Practice locations: Edwardsburg, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68991 M
62 Suite Q
Edwardsburg, MI 49112-9226
Phone (269) 663-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005525MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295892420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490310173",
            "telephone_number": "269-445-2249",
            "fax_number": "269-445-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E STATE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311330",
            "telephone_number": "264-445-2249",
            "fax_number": "269-445-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEURANCE",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS I.D.#",
            "identifier": "0A450190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.