Individual provider Active NPI

David G Lifka, D.C.

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1780727198
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007320 Issued in IL
Practice address
1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892
Phone
(630) 898-0101
NPI assigned
Feb 15, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007320 IL Primary

Addresses

Primary practice location

1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892

Mailing address

1660 N Farnsworth Ave
Suite #1
Aurora, IL 60505-1892
Phone (630) 898-0101

Other identifiers 1

IdentifierTypeStateIssuer
4504888OtherILBC-BS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000730 IL Practitioner - ChiropracticPractitioner - Other (Physician) 0143404558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1660 N Farnsworth Ave
Suite 1
Aurora, IL 60505-1895
Phone (630) 898-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007320ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David G Lifka DC PC Chiropractor CurrentSince Mar 11, 2011 Accepting new patients

Locations

1660 N Farnsworth Ave
Ste 1
Aurora, IL 60505
Phone (630) 898-0101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1780727198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 N FARNSWORTH AVE",
            "address_2": "SUITE #1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051892",
            "telephone_number": "630-898-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 N FARNSWORTH AVE",
            "address_2": "SUITE #1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051892",
            "telephone_number": "630-898-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFKA",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER ID",
            "identifier": "4504888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.