Individual provider Active NPI

Chad David Lieser, D.C.

  • Chiropractor
  • Venice, FL
National Provider Identifier
1457539827
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12450 Issued in FL
Practice address
1946 S Tamiami TRL
Venice, FL 34293-5001
Phone
(941) 977-2871
Fax
(941) 977-2871
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12450 FL 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612001224 FL Practitioner - Chiropractic 2163484809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare of Florida, Inc. Chiropractor CurrentSince May 13, 2024 Accepting new patients
Chad D Lieser DC PA Chiropractor CurrentSince May 2, 2025 Accepting new patients
Big Lake Spine & Sport, PA Chiropractor PastSince Oct 15, 2007 Accepting new patients
Integrated Care Clinics, PA PastSince Jul 22, 2015 Accepting new patients

Locations

2390 NE 186th St
Miami, FL 33180
Phone (305) 760-8400

1600 S Federal Hwy
Ste 811
Pompano Beach, FL 33062

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1457539827",
    "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",
            "fax_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",
            "fax_number": "941-977-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESER",
        "first_name": "CHAD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.