Individual provider Active NPI

Paul Andrew Ligertwood, DC

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1730264367
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7653 Issued in FL
Practice address
10129 Little Rd
New Port Richey, FL 34654-3424
Phone
(727) 819-2273
Fax
(727) 863-9313
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7653 FL Primary
Chiropractor 111N00000X CHIR005809 GA

Addresses

Primary practice location

10129 Little Rd
New Port Richey, FL 34654-3424

Mailing address

10129 Little Rd
New Port Richey, FL 34654-3424
Phone (727) 819-2273

Other identifiers 1

IdentifierTypeStateIssuer
3814289-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000181 FL Practitioner - Chiropractic 8628161338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7653FLMDChiropractor
CHIR005809GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ligertwood Chiropractic Clinic, Inc. Chiropractor CurrentSince Jun 26, 2011 Accepting new patients
Harry W. Brown, Inc. Chiropractor Past Accepting new patients

Locations

10129 Little Rd
New Port Richey, FL 34654
Phone (727) 819-2273

Organizations & group practices 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1730264367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10129 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346543424",
            "telephone_number": "727-819-2273",
            "fax_number": "727-863-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10129 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346543424",
            "telephone_number": "727-819-2273",
            "fax_number": "727-863-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGERTWOOD",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7653",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814289-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.