Individual provider Active NPI

Gerard Patrick Liboiron, D.C.

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1942354220
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10504 Issued in TX
Practice address
2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844
Phone
(512) 733-8838
Fax
(512) 733-8828
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10504 TX Primary

Addresses

Primary practice location

2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844

Mailing address

2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844
Phone (512) 733-8838

Other practice location 1

4131 Spicewood Springs Rd Ste K6
Austin, TX 78759-8600
Phone (512) 953-8387

Other identifiers 1

IdentifierTypeStateIssuer
1942354220OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000478 TX Practitioner - Chiropractic 2860590932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused on You Chiropractic P.L.L.C.Group PAC ID 7315045481, 3 clinicians

Practice addresses (Care Compare)

2201 Double Creek Dr
Suite 5003
Round Rock, TX 78664-3844
Phone (512) 733-8838

4131 Spicewood Springs Rd
Suite K6
Austin, TX 78759-8600
Phone (512) 953-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10504TXMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1942354220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DOUBLE CREEK DR STE 5003",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643844",
            "telephone_number": "512-733-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DOUBLE CREEK DR STE 5003",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643844",
            "telephone_number": "512-733-8838",
            "fax_number": "512-733-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 Spicewood Springs Rd Ste K6",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "512-953-8387",
            "fax_number": "512-953-8385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBOIRON",
        "first_name": "GERARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942354220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.