Organization Active NPI

Liberty Chiropractic Institute PLLC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1659081594
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIBERTY CHIROPRACTIC INSTITUTE PLLC
Practice address
5500 McNeely Dr Ste 103
Raleigh, NC 27612-7623
Phone
(757) 708-3648
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Dr. Matthew Hamlin Persons, DC
Title
Co-Founder
Phone
(757) 708-3648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5500 McNeely Dr Ste 103
Raleigh, NC 27612-7623

Mailing address

5500 McNeely Dr Ste 103
Raleigh, NC 27612-7623
Phone (757) 708-3648

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@libertychiropracticinstitute.com Direct

National Provider Directory

National Provider Directory

Locations

5500 McNeely Dr
Ste 103
Raleigh, NC 27612
Phone (757) 708-3648

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1659081594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MCNEELY DR STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127623",
            "telephone_number": "757-708-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MCNEELY DR STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127623",
            "telephone_number": "757-708-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-01-06",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HAMLIN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "757-708-3648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@libertychiropracticinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Office Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5500 McNeely Dr Ste 103",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276127623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.