Organization Active NPI

Liles Family Chiropractic

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1457004616
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LILES FAMILY CHIROPRACTIC
Practice address
2519 Airport Blvd NW
Ste F
Wilson, NC 27896
Phone
(252) 201-8990
Fax
(252) 021-8992
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Matthew Liles, DC
Title
Owner
Phone
(252) 292-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2519 Airport Blvd NW
Ste F
Wilson, NC 27896

Mailing address

2519 Airport Blvd NW
Ste F
Wilson, NC 27896
Phone (252) 201-8990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1457004616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 AIRPORT BLVD NW",
            "address_2": "STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-201-8990",
            "fax_number": "252-021-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 AIRPORT BLVD NW",
            "address_2": "STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-201-8990",
            "fax_number": "252-021-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILES FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-08-22",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-292-1025",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.