Organization Active NPI

Liberty Chiropractic, LLC

  • Chiropractor
  • West Liberty, OH
National Provider Identifier
1336491638
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIBERTY CHIROPRACTIC, LLC
Practice address
128 N Detroit St
West Liberty, OH 43357-9458
Phone
(937) 465-2500
Fax
(937) 465-2505
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Mr. Rex D Huffer, D.C.
Title
Owner
Phone
(937) 465-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X OH Primary

Addresses

Primary practice location

128 N Detroit St
West Liberty, OH 43357-9458

Mailing address

128 N Detroit St
PO Box 752
West Liberty, OH 43357-9458
Phone (937) 465-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1336491638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N DETROIT ST",
            "address_2": "PO BOX 752",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579458",
            "telephone_number": "937-465-2500",
            "fax_number": "937-465-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N DETROIT ST",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579458",
            "telephone_number": "937-465-2500",
            "fax_number": "937-465-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "HUFFER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-465-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.