Organization Active NPI

Total Body Chiropractic PC

  • Sports Physician Chiropractor
  • Bend, OR
National Provider Identifier
1588088835
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4005 Issued in OR
Legal business name
TOTAL BODY CHIROPRACTIC PC
Practice address
516 SW 13TH St Ste 102
Bend, OR 97702-3442
Phone
(541) 728-0689
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Bari Liebowitz, DCNPI 1073548939
Title
Owner
Phone
(541) 728-0689

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 4005 OR Primary

Addresses

Primary practice location

516 SW 13TH St Ste 102
Bend, OR 97702-3442

Mailing address

532 SW 13TH St
Ste 102
Bend, OR 97702-3262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180126001285 OR Part B Supplier - Clinic/Group Practice 1850651548 Receives reassigned benefits from 2 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

532 SW 13th St
Ste 102
Bend, OR 97702
Phone (541) 241-2401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1588088835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SW 13TH ST",
            "address_2": "STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-728-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "LIEBOWITZ",
        "authorized_official_first_name": "BARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-728-0689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.