Mitchell Liberman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006204 Issued in MO

Practice address

3555 Sunset Office Dr Ste C102
Saint Louis, MO 63127-1014

Phone

(314) 858-1858

Fax

(314) 261-9184

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Medical Group, LLC

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1265327076
  Medicare reassignment NPD Authorized official
• St. Louis Centers for Pain Management, LLC

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1821434242
  NPD Authorized official
• Downtown Pain Management Clinic, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1598903585
  NPD (past) Authorized official
• St. Louis Centers for Pain Management, LLC

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1528345295
  Authorized official Same address or phone
• Myocore, LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1316138316
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1669695540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE C102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271014",
            "telephone_number": "314-858-1858",
            "fax_number": "314-261-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE C102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271014",
            "telephone_number": "314-858-1858",
            "fax_number": "314-261-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drliberman@stlcpm.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3555 Sunset Office Dr Ste C102",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631271014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amelia Libby, PHARMD
• Emma Libby, MD
• Liberate Learning Institute
• Ryan David Liberati, LPC, LCPC, RPT
• Marla Liberman
• Jan Marie Liberson-Helferstay, RPH.
• Liberty Eyecare LLC
• Raven Liberty
• Heather Christine Licata, PNP
• Lice Busters St. Louis LLC

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.