Michael J Liberti, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1055 Issued in ME

Practice address

1 Parkway Suite 201
Bethel, ME 04217-4449

Phone

(207) 824-3899

Fax

(207) 824-7677

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1316040777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 996",
            "address_2": "1 PARKWAY SUITE 201",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-824-3899",
            "fax_number": "207-824-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKWAY SUITE 201",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042174449",
            "telephone_number": "207-824-3899",
            "fax_number": "207-824-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "761",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131690099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "043438",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10903077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue J Howe, LCPC
• John R. Mason, D.D.S.
• Jennifer Jordan, LCSW, LICSW
• Ryan Laperle
• William Libby Jr., RPH
• Light Within Therapy & Coaching, LLC
• Andrew A Lowe, PHARMD
• Leslie G Lufkin, LCSW
• John R Mason, DDS
• Stephanie Mastroianni

• Chiropractor in Bethel, ME
• Providers in Bethel, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.