Beyond Innovation Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12633 Issued in TX

Legal business name

BEYOND INNOVATION CHIROPRACTIC, LLC

Practice address

12398 FM 423
Suite 300
Frisco, TX 75033-4758

Phone

(615) 856-5542

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Sherwood Liebich, D.C.NPI 1912309113

Title

Owner/Chiropractor

Phone

(615) 856-5542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Mark Sherwood Liebich, D.C.

  • Chiropractor
  • Frisco, TX
  • NPI 1912309113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1407258551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334758",
            "telephone_number": "615-856-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND INNOVATION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "LIEBICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SHERWOOD",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "615-856-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Frisco, TX
• Providers in Frisco, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.