Active NPI
Allen Liebing, D.C., M.S.
- Chiropractor
- Kennewick, WA
National Provider Identifier
1679980171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60610717
- Practice address
- 8530 W Gage Blvd Ste B
Kennewick, WA 99336-7162 - Phone
- (509) 737-1400
- Fax
- (509) 737-1406
- NPI assigned
- Jul 16, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60610717 | WA | |
| Chiropractor | 111N00000X | 5574 | OR | |
| Chiropractor | 111N00000X | 60610717 | WA | Primary |
Addresses
Primary practice location
8530 W Gage Blvd Ste B
Kennewick, WA 99336-7162
Mailing address
8530 W Gage Blvd Ste B
Kennewick, WA 99336-7162
Phone (509) 737-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8350 W Grandridge Blvd
Suite 100
Kennewick, WA 99336-1662
Phone (509) 737-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60610717 | WA | MD | Chiropractor |
| CH60610717 | WA | MD | Chiropractor |
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.
-
- Chiropractor
- Kennewick, WA
- NPI 1104185263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1679980171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 W GAGE BLVD STE B",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367162",
"telephone_number": "509-737-1400",
"fax_number": "509-737-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 W GAGE BLVD STE B",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367162",
"telephone_number": "509-737-1400",
"fax_number": "509-737-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBING",
"first_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60610717",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5574",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60610717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.