Individual provider Active NPI

Larry Lee Libs, DC

  • Orthopedic Chiropractor
  • Kansas City, KS
National Provider Identifier
1710900519
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2301005437 Issued in MI
Practice address
3228 N 109TH PL
Kansas City, KS 66109
Phone
(517) 263-6181
Fax
(517) 263-6181
NPI assigned
Jul 25, 2006
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 2301005437 MI Primary

Addresses

Primary practice location

3228 N 109TH PL
Kansas City, KS 66109

Mailing address

3228 N 109TH PL
Kansas City, KS 66109-8908
Phone (517) 270-2704

Other identifiers 3

IdentifierTypeStateIssuer
1958864MedicaidMI
950D611170OtherMIBCBSM
38-2837719OtherMICOMMERCIAL INSURANCE

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1710900519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 N 109TH PL",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661098908",
            "telephone_number": "517-270-2704",
            "fax_number": "517-270-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 N 109TH PL",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66109",
            "telephone_number": "517-263-6181",
            "fax_number": "517-263-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBS",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301005437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1958864",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950D611170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "38-2837719",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.