Active NPI
John A Lieurance, D.C., N.M.D
- Nutrition Chiropractor
- Sarasota, FL
National Provider Identifier
1679574677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH0007524
- Practice address
- 2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3805 - Phone
- (941) 330-8553
- Fax
- (941) 330-9853
- NPI assigned
- Aug 2, 2005
- Reactivated
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH0007524 | FL | Primary |
Addresses
Primary practice location
2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3805
Mailing address
2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3805
Phone (941) 330-8553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0007524 | FL | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rejuvination | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Sports Medicine (Preventive Medicine) Physician
- Sarasota, FL
- NPI 1710238597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1679574677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S TAMIAMI TRL",
"address_2": "SUITE C",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393805",
"telephone_number": "941-330-8553",
"fax_number": "941-330-9853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S TAMIAMI TRL",
"address_2": "SUITE C",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393805",
"telephone_number": "941-330-8553",
"fax_number": "941-330-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEURANCE",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C., N.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2012-03-14",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH0007524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Shan Liang, DOM, AP
- Liberty Senior Care LLC (Liberty Senior Care)
- Jennifer Lichon, DO
- Denise Genevie Lieberman, SLP-CFY
- Jennifer Lieberman, M.A., LMFT
- Life Awaits Acupuncture
- Life Care Centers of America, Inc. (Life Care Center of Sarasota)
- Life Counseling Professional Services
- Life X Behavior Inc
- Life X Medical Center Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.