Active NPI
Arlen Jay Lieberman, DC
- Chiropractor
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001754
- Practice address
- 5685 Duluth St
Golden Valley, MN 55422-4054 - Phone
- (763) 541-1280
- Fax
- (763) 541-1012
- NPI assigned
- Sep 27, 2005
- Last updated
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001754 | MN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8441 Wayzata Blvd
Suite 300
Golden Valley, MN 55426-1357
Phone (763) 541-1280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
5685 Duluth St
Minneapolis, MN 55422
Phone (612) 541-1280
5801 Duluth St
Ste 150
Minneapolis, MN 55422
Phone (763) 541-1280
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Golden Valley, MN
- NPI 1952587156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1659367308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 DULUTH ST",
"address_2": "STE 150",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223952",
"telephone_number": "763-541-1280",
"fax_number": "763-541-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 DULUTH ST",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224054",
"telephone_number": "763-541-1280",
"fax_number": "763-541-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "ARLEN",
"middle_name": "JAY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "001754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.