Organization Active NPI

Liberal Family Chiropractic

  • Chiropractor
  • Liberal, KS
National Provider Identifier
1689633133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104874 Issued in KS
Legal business name
LIBERAL FAMILY CHIROPRACTIC
Practice address
110 Lilac Dr
Liberal, KS 67901-2059
Phone
(620) 624-7773
Fax
(620) 626-7396
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Julio Jimenez, D.C.NPI 1063530319
Title
President
Phone
(620) 624-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104874 KS Primary

Addresses

Primary practice location

110 Lilac Dr
Liberal, KS 67901-2059

Mailing address

110 Lilac Dr
Liberal, KS 67901-2059
Phone (620) 624-7773

Other identifiers 1

IdentifierTypeStateIssuer
660035OtherKSBCBS OF KANSAS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689633133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012059",
            "telephone_number": "620-624-7773",
            "fax_number": "620-626-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012059",
            "telephone_number": "620-624-7773",
            "fax_number": "620-626-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-624-7773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "660035",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.