Individual provider Active NPI

Ron D Lieberman, DC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1699729988
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1625 Issued in AR
Practice address
808 Tiger Blvd
Suite a
Bentonville, AR 72712-4261
Phone
(479) 273-3383
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1625 AR Primary

Addresses

Primary practice location

808 Tiger Blvd
Suite a
Bentonville, AR 72712-4261

Mailing address

808 Tiger Blvd
Suite a
Bentonville, AR 72712-4261
Phone (479) 273-3383

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

LicenseStateTypeSpecialty
1625ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
PCFW Acquisition, LLC Chiropractor CurrentSince Jul 24, 2022 Accepting new patients

Locations

5505 W Walsh Ln
#100
Rogers, AR 72758
Phone (479) 715-6772

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699729988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TIGER BLVD",
            "address_2": "SUITE A",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124261",
            "telephone_number": "479-273-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 TIGER BLVD",
            "address_2": "SUITE A",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124261",
            "telephone_number": "479-273-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "RON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.