Individual provider Active NPI

David Edward Libs, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1740281179
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14855 Issued in CA
Practice address
4410 Lamont St.
San Diego, CA 92109-4515
Phone
(858) 483-8500
Fax
(858) 272-0054
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14855 CA Primary

Addresses

Primary practice location

4410 Lamont St.
San Diego, CA 92109-4515

Mailing address

4410 Lamont St.
San Diego, CA 92109-4515
Phone (858) 483-8500

Other identifiers 1

IdentifierTypeStateIssuer
1366565285OtherMEDICARE GROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050813000247 CA Practitioner - Chiropractic 2961432554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Libs Chiropractic Center, Inc.Group PAC ID 7810054681, 2 clinicians

Practice addresses (Care Compare)

4410 Lamont St
San Diego, CA 92109-4515
Phone (858) 483-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Libs Chiropractic Center, Inc. Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

4410 Lamont St
San Diego, CA 92109
Phone (858) 483-8500

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1740281179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 LAMONT ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094515",
            "telephone_number": "858-483-8500",
            "fax_number": "858-272-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 LAMONT ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094515",
            "telephone_number": "858-483-8500",
            "fax_number": "858-272-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBS",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1366565285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.