Individual provider Active NPI

Paul E Liechty, D.C.

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1639285448
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2765 Issued in TX
Practice address
3334 N Town East Blvd
Mesquite, TX 75150-3858
Phone
(972) 681-8321
NPI assigned
Aug 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2765 TX Primary

Addresses

Primary practice location

3334 N Town East Blvd
Mesquite, TX 75150-3858

Mailing address

PO Box 851570
Mesquite, TX 75185-1570
Phone (972) 681-8321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215001205 TX Practitioner - Chiropractic 7416026448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Integrated Healthcare, PLLCGroup PAC ID 4183969082, 4 clinicians

Practice addresses (Care Compare)

3334 N Town E Blvd
Suite 102
Mesquite, TX 75150-3800
Phone (972) 681-8321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2765TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Integrated Healthcare PLLC Chiropractor CurrentSince Apr 9, 2018 Accepting new patients
A Younique Wellness Care Clinic Past Accepting new patients

Locations

3334 N Town East Blvd
Mesquite, TX 75150
Phone (972) 279-0090

3334 N Town East Blvd
Ste 102
Mesquite, TX 75150
Phone (972) 681-8321

3334 N Town East Blvd
Ste 102A
Mesquite, TX 75150

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639285448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851570",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851570",
            "telephone_number": "972-681-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503858",
            "telephone_number": "972-681-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIECHTY",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.