Organization Active NPI

David G Lifka DC PC

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1629111000
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007320 Issued in IL
Legal business name
DAVID G LIFKA DC PC
Practice address
1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892
Phone
(630) 898-0101
NPI assigned
Feb 15, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. David G Lifka, D.C.NPI 1780727198
Title
President
Phone
(630) 898-0101

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 038-007320 IL Primary

Addresses

Primary practice location

1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892

Mailing address

1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892
Phone (630) 898-0101

Other identifiers 1

IdentifierTypeStateIssuer
4504888OtherILBC-BS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000729 IL Part B Supplier - Clinic/Group Practice 9234313644 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

1187 N Farnsworth Ave
Unit 113
Aurora, IL 60505
Phone (630) 898-0101

1660 N Farnsworth Ave
Ste 1
Aurora, IL 60505
Phone (630) 898-0101

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1629111000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 N FARNSWORTH AVE",
            "address_2": "SUITE #1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051892",
            "telephone_number": "630-898-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 N FARNSWORTH AVE",
            "address_2": "SUITE #1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051892",
            "telephone_number": "630-898-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G LIFKA DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "LIFKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-898-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER ID",
            "identifier": "4504888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.