Active NPI
Ronald Harlan Liedel Jr., D.C.
- Radiology Chiropractor
- Flat Rock, MI
National Provider Identifier
1619035490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- RL005513
- Practice address
- 27375 Telegraph Rd
Flat Rock, MI 48134-1010 - Phone
- (734) 783-5040
- Fax
- (734) 783-5403
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | RL005513 | MI | Primary |
Addresses
Primary practice location
27375 Telegraph Rd
Flat Rock, MI 48134-1010
Mailing address
27375 Telegraph Rd
Flat Rock, MI 48134-1010
Phone (734) 783-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3302328 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27375 Telegraph Rd
Flat Rock, MI 48134-1010
Phone (734) 783-5040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL005513 | MI | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liedel Chiropractic Clinic, Inc | Current | Accepting new patients |
Locations
27375 Telegraph Rd
Flat Rock, MI 48134
Phone (734) 783-5040
27108 Telegraph Rd
Flat Rock, MI 48134
Phone (734) 783-5040
Organizations & group practices 1
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.
-
- Occupational Health Chiropractor
- Flat Rock, MI
- NPI 1033413836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1619035490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27375 TELEGRAPH RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481341010",
"telephone_number": "734-783-5040",
"fax_number": "734-783-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27375 TELEGRAPH RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481341010",
"telephone_number": "734-783-5040",
"fax_number": "734-783-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEDEL",
"first_name": "RONALD",
"middle_name": "HARLAN",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "MI",
"license": "RL005513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3302328",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.