Organization Active NPI

Chad D Lieser DC PA

Doing business as Venice Family Chiropractic

  • Chiropractor
  • Venice, FL
National Provider Identifier
1417745092
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHAD D LIESER DC PA
Doing business as
Venice Family Chiropractic
Practice address
1946 S Tamiami TRL
Venice, FL 34293-5001
Phone
(941) 977-2871
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Chad Lieser, DCNPI 1457539827
Title
Doctor
Phone
(941) 977-2871

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1946 S Tamiami TRL
Venice, FL 34293-5001

Mailing address

1946 S Tamiami TRL
Venice, FL 34293-5001
Phone (941) 977-2871

Other names 1

  • Venice Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250508003525 FL Part B Supplier - Clinic/Group Practice 5698292019 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

1946 S Tamiami Trl
Venice, FL 34293
Phone (941) 493-9191

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1417745092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935001",
            "telephone_number": "941-977-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935001",
            "telephone_number": "941-977-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD D LIESER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "LIESER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "941-977-2871",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.