Individual provider Active NPI

David Reed Liberman

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1730369133
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0005333 Issued in CO
Practice address
9362 Grand Cordera Pkwy Ste 120
Colorado Springs, CO 80924-7007
Phone
(719) 593-0300
Fax
(719) 593-1451
NPI assigned
Nov 14, 2007
Reactivated
Sep 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0005333 CO Primary

Addresses

Primary practice location

9362 Grand Cordera Pkwy Ste 120
Colorado Springs, CO 80924-7007

Mailing address

9362 Grand Cordera Pkwy Ste 120
Colorado Springs, CO 80924-7007
Phone (719) 593-0300

Other names 1

  • David Liberman Professional name

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
CHR.0005333COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1730369133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9362 GRAND CORDERA PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247007",
            "telephone_number": "719-593-0300",
            "fax_number": "719-593-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 GRAND CORDERA PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247007",
            "telephone_number": "719-593-0300",
            "fax_number": "719-593-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "DAVID",
        "middle_name": "REED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2019-09-18",
        "deactivation_date": "2019-09-11",
        "reactivation_date": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0005333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LIBERMAN",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.