Active NPI
Thomas B Liddle, DC
- Chiropractor
- Piedmont, SC
National Provider Identifier
1972689131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SC2076
- Practice address
- 11055 Anderson Rd
Piedmont, SC 29673 - Phone
- (864) 220-3553
- Fax
- (864) 220-3553
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SC2076 | SC | Primary |
Addresses
Primary practice location
11055 Anderson Rd
Piedmont, SC 29673
Mailing address
PO Box 51006
Piedmont, SC 29673-2006
Phone (864) 220-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070502000074 | SC | Practitioner - Chiropractic | 8921104357 | Practice locations: Piedmont, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11055 Anderson Rd
Piedmont, SC 29673-8203
Phone (864) 220-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2076 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972689131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51006",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296732006",
"telephone_number": "864-220-3553",
"fax_number": "864-220-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11055 ANDERSON RD",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "29673",
"telephone_number": "864-220-3553",
"fax_number": "864-220-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDLE",
"first_name": "THOMAS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "SC2076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piedmont, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.