NPIMap

Organization Active NPI

Libs Chiropractic Center, Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1366565285
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIBS CHIROPRACTIC CENTER, INC.
Practice address
4410 Lamont St
San Diego, CA 92109-4515
Phone
(858) 483-8500
Fax
(858) 272-0054
NPI assigned
Apr 7, 2007
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. David E Libs, D.C.NPI 1740281179
Title
Chiropractor
Phone
(858) 483-8500

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

4410 Lamont St
San Diego, CA 92109-4515

Mailing address

4410 Lamont St
San Diego, CA 92109-4515
Phone (858) 483-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000130 CA Part B Supplier - Clinic/Group Practice 7810054681 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4410 Lamont St
San Diego, CA 92109
Phone (858) 483-8500

Practitioners & affiliated clinicians

Practitioners 10

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": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1366565285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 LAMONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094515",
            "telephone_number": "858-483-8500",
            "fax_number": "858-272-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 LAMONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094515",
            "telephone_number": "858-483-8500",
            "fax_number": "858-272-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBS CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "LIBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "858-483-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.