Liberty Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIBERTY CHIROPRACTIC LLC

Doing business as

Liberty Chiropractic

Practice address

1421 N Meadowwood LN Ste 80
Liberty Lake, WA 99019-6021

Phone

(360) 980-0614

NPI assigned

Nov 30, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beau William Sparks, DCNPI 1265075964

Title

Chiropractor

Phone

(360) 980-0614

Specialties & licenses 1

Addresses

Other names 1

• Liberty Chiropractic Doing business as

Locations

Practitioners 1

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.

• Beau William Sparks, DC

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1265075964
  NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1942076807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N MEADOWWOOD LN STE 80",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196021",
            "telephone_number": "360-980-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N MEADOWWOOD LN STE 80",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196021",
            "telephone_number": "360-980-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-980-0614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Langager
• Alyssa Sue Larson
• Jamie Lattin
• Patrick Leong, LCSW
• Raymond R Lester, LICSW
• Liberty Lake Chiropractic PS (Spokane Spine and Disc)
• Liberty Lake Couple and Family Therapy, LLC (Liberty Lake Couple and Family Therapy)
• Liberty Lake Direct Primary Care PLLC (Liberty Lake DPC)
• Liberty Lake Eyecare Center PS
• Liberty Lake Family & Sports Medicine, P.S.

• Chiropractor in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.