Active NPI
Mesa Chiropractic Rehab and Wellness LLC
- Chiropractor
- Mesa, AZ
National Provider Identifier
1821402363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8395
- Legal business name
- MESA CHIROPRACTIC REHAB AND WELLNESS LLC
- Practice address
- 613 S Mesa Dr
Mesa, AZ 85210-2543 - Phone
- (480) 644-1227
- Fax
- (480) 644-7737
- NPI assigned
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Liebl, DC
- Title
- Chiropractor/Owner
- Phone
- (480) 644-1227
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8395 | AZ | Primary |
| Chiropractor | 111N00000X | 8396 | AZ |
Addresses
Primary practice location
613 S Mesa Dr
Mesa, AZ 85210-2543
Mailing address
613 S Mesa Dr
Mesa, AZ 85210-2543
Phone (480) 644-1227
Other names 2
- Mesa Chiropractic and Rehab
- Mesa Chiropractic and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
613 S Mesa Dr
Mesa, AZ 85210
Phone (480) 644-1227
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mesa, AZ
- NPI 1447407119
-
- Chiropractor
- Mesa, AZ
- NPI 1063435154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1821402363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 S MESA DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852102543",
"telephone_number": "480-644-1227",
"fax_number": "480-644-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 S MESA DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852102543",
"telephone_number": "480-644-1227",
"fax_number": "480-644-7737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA CHIROPRACTIC REHAB AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2023-09-06",
"status": "A",
"authorized_official_last_name": "LIEBL",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "480-644-1227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "8395",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "8396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mesa Chiropractic and Rehab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mesa Chiropractic and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Mesa Cardiovascular Research Center
- Mesa Center for Family Medicine
- Mesa Chiropractic and Rehabilitation Center P C
- Mesa Chiropractic Corp
- Mesa Chiropractic PLLC
- Mesa Clinic of Physicians and Surgeons, PLLC.
- Mesa CT Al MC Care Properties, LLC
- Mesa Dental Arizona LLC
- Mesa Dental Care
- Mesa Dental Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.