David L. Liska DC PA – Chiropractor in Lyons, KS

Key facts

NPI: 1821372152
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 04803 (KS)
Legal business name: DAVID L. LISKA DC PA
Practice address: 400 W Main St
Lyons, KS 67554-1819
Phone: (620) 257-2040
Fax: (620) 257-2038
NPI assigned: Oct 5, 2011
Organization subpart: No

Authorized official

Name: Dr. David L Liska, DC
Title: Owner
Phone: (620) 257-2040

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	04803	KS	Yes

Addresses

Primary practice location

400 W Main St
Lyons, KS 67554-1819

Mailing address

400 W Main St
Lyons, KS 67554-1819
Phone (620) 257-2040

Other identifiers

Identifier	Type	State	Issuer
060953	Other	KS	MEDICARE ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2012.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1821372152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675541819",
            "telephone_number": "620-257-2040",
            "fax_number": "620-257-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675541819",
            "telephone_number": "620-257-2040",
            "fax_number": "620-257-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. LISKA DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "LISKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-257-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "04803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "060953",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

All providers in Lyons, KS · Chiropractor in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.