Organization Active NPI

Liebell Chiropractic Inc.

Doing business as The Liebell Clinic of Specific Chiropractic

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1902066806
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001160 Issued in VA
Legal business name
LIEBELL CHIROPRACTIC INC.
Doing business as
The Liebell Clinic of Specific Chiropractic
Practice address
477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349
Phone
(757) 631-9799
Fax
(757) 631-9866
NPI assigned
Jun 13, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Donald Liebell, D.C.NPI 1154495521
Title
President
Phone
(757) 631-9799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001160 VA Primary

Addresses

Primary practice location

477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349

Mailing address

477 Viking Dr
Suite 203
Virginia Beach, VA 23452-7349
Phone (757) 631-9799

Other identifiers 1

IdentifierTypeStateIssuer
117658OtherVAANTHEM BCBS

Other names 1

  • The Liebell Clinic of Specific Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815002400 VA Part B Supplier - Clinic/Group Practice 7113144056 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

477 Viking Dr
Virginia Beach, VA 23452
Phone (757) 486-8181

477 Viking Dr
Ste 170
Virginia Beach, VA 23452
Phone (757) 631-9799

477 Viking Dr
Ste 203
Virginia Beach, VA 23452
Phone (757) 631-9799

477 Viking Dr
Ste 350
Virginia Beach, VA 23452
Phone (757) 631-9799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1902066806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 VIKING DR",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527349",
            "telephone_number": "757-631-9799",
            "fax_number": "757-631-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 VIKING DR",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527349",
            "telephone_number": "757-631-9799",
            "fax_number": "757-631-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBELL CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LIEBELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-631-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "117658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Liebell Clinic of Specific Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.