Organization Active NPI

Mjliechty Health Services

Doing business as Cross Plains Family Chiropractic

  • Chiropractor
  • Cross Plains, WI
National Provider Identifier
1306147988
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MJLIECHTY HEALTH SERVICES
Doing business as
Cross Plains Family Chiropractic
Highlands Family Chiropractic Center
Practice address
1823 Bourbon Rd
Cross Plains, WI 53528-9436
Phone
(608) 798-3300
Fax
(608) 798-0321
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Paul Micah Liechty, DCNPI 1407003130
Title
Manager/Chiropractor
Phone
(608) 798-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1823 Bourbon Rd
Cross Plains, WI 53528-9436

Mailing address

1823 Bourbon Rd
Cross Plains, WI 53528-9436
Phone (608) 798-3300

Other names 2

  • Cross Plains Family Chiropractic Doing business as
  • Highlands Family Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129000705 WI Part B Supplier - Clinic/Group Practice 1759550338 Receives reassigned benefits from 2 practitioners
Practice locations: Cross Plains, WI

National Provider Directory

National Provider Directory

Locations

7562 S University Blvd
Centennial, CO 80122
Phone (303) 773-2020

1823 Bourbon Rd
Cross Plains, WI 53528
Phone (608) 798-3300

Practitioners & affiliated clinicians

Practitioners 6

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": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1306147988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 BOURBON RD",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289436",
            "telephone_number": "608-798-3300",
            "fax_number": "608-798-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 BOURBON RD",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289436",
            "telephone_number": "608-798-3300",
            "fax_number": "608-798-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJLIECHTY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "LIECHTY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "MANAGER/CHIROPRACTOR",
        "authorized_official_telephone_number": "608-798-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Plains Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highlands Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cross Plains, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.