Liberty Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004003314 Issued in MO

Legal business name

LIBERTY CHIROPRACTIC CENTER LLC

Practice address

257 W Mill St
Liberty, MO 64068-2339

Phone

(816) 781-8810

Fax

(816) 781-3468

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Shayne Chapman, D.C.NPI 1992728505

Title

Owner

Phone

(816) 781-8810

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip S Chapman, D.C.

  • Chiropractor
  • Liberty, MO
  • NPI 1992728505
  Medicare reassignment Authorized official
• Mable Marie Leckrone, D.C.

  • Internist Chiropractor
  • Liberty, MO
  • NPI 1952325433
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1811019474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W MILL ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682339",
            "telephone_number": "816-781-8810",
            "fax_number": "816-781-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W MILL ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682339",
            "telephone_number": "816-781-8810",
            "fax_number": "816-781-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004003314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "T200000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LHW Op LLC
• Liberty 53 School District
• Liberty Ambulatory Surgery Center LP
• Liberty Cardiovascular Specialists
• Liberty Cataract Center LLC
• Liberty Emergency Physicians, Inc.
• Liberty Home Care LLC
• Liberty Hospital Emergency Medicine Physicians, LLC
• Liberty Hospital Physician Clinics
• Liberty Medical Center PC

• Chiropractor in Liberty, MO
• Providers in Liberty, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.