Active NPI
James A Liebelt, D.C.
- Chiropractor
- Brigham City, UT
National Provider Identifier
1821042102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 278338-1202
- Practice address
- 60 S Main St
Suite 104
Brigham City, UT 84302-6719 - Phone
- (435) 723-6033
- Fax
- (435) 723-1635
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 278338-1202 | UT | Primary |
Addresses
Primary practice location
60 S Main St
Suite 104
Brigham City, UT 84302-6719
Mailing address
PO Box 3
Brigham City, UT 84302-0003
Phone (435) 723-6033
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1821042102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843020003",
"telephone_number": "435-723-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S MAIN ST",
"address_2": "SUITE 104",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843026719",
"telephone_number": "435-723-6033",
"fax_number": "435-723-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBELT",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "278338-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.