Arlen Jay Lieberman, DC
Individual provider Active NPI Chiropractor · Golden Valley, MN
NPI 1659367308 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1659367308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 001754 (MN)
- Practice address
- 5685 Duluth St
Golden Valley, MN 55422-4054 - Phone
- (763) 541-1280
- Fax
- (763) 541-1012
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Medical of Twin Cities, P.C.
Practice addresses (Care Compare)
8441 Wayzata Blvd
Suite 300
Golden Valley, MN 55426-1357
Phone (763) 541-1280
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000432 | MN | Practitioner - Chiropractic | 3173557147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001754 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical of Twin Cities, P.C. | Current |
Accepting new patients |
Locations
8441 Wayzata Blvd
Ste 300
Golden Valley, MN 55426
Phone (763) 541-1280
5801 Duluth St
Ste 150
Minneapolis, MN 55422
Phone (763) 541-1280
5685 Duluth St
Minneapolis, MN 55422
Phone (612) 541-1280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001754 | MN | Yes |
Addresses
Primary practice location
5685 Duluth St
Golden Valley, MN 55422-4054
Mailing address
5801 Duluth St
Ste 150
Golden Valley, MN 55422-3952
Phone (763) 541-1280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 754727700 | Medicaid | MN | |
| 09841LI | Other | MN | BCBS |
Other providers in Golden Valley, MN
- Karen M Leslie
- Curtis A. Levang
- Levernier Chiropractic, PA
- Brian Lewis
- Leah Li
- Life Attuned LTD
- Lifeline Labs LLC
- Ryan Lill
- Amy Lincoln
- Jessica Lind-Lamoureux
All providers in Golden Valley, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.