LIBERTY HEALTH (NPI# 1710255674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710255674 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTH |
| Other Organization Name | HEALTHCARE CHIROPRACTIC |
| Practice Address |
4373 S Hampton Rd Dallas TX 75232-1058 |
| Mailing Address |
Po Box 1305 Coppell TX 75019-1305 |
| Practice Telephone | 2143392460 |
| Practice Fax Number | 2143392387 |
| Mailing Telephone | 8179071009 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | DR. DANIEL LEE PENNELL (DOCTOR/OWNER) |
| Authorized Official Telephone | 2143392460 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE CHIROPRACTIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11401 | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Healthcare Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIBERTY HEALTH | 4032 Chancery Ct Nw, Washington, DC 20007-2144 |
| Indiana Business Entities | LIBERTY HEALTH & BEAUTY, LLC | 4606 Thornbury Dr. East, Valparaiso, IN 46383 |
| New York State Corporations | LIBERTY HEALTH ADVANTAGE, INC. | 1 Huntington Quadrangle, Suite 3n01, Melville, Ny 11747 |
| System for Award Management (SAM) Entities | LIBERTY HEALTH CARE CENTER | 1206 North Travis, Liberty, TX 77575-3540 |
| Oregon Corporations, Companies and Business Names | LIBERTY HEALTH CARE CORPORATION | 401 E City Avenue, Ste 820, Bala Cynwyd, PA 19004 |
| Colorado Business Entities | LIBERTY HEALTH CARE CORPORATION | 401 E City Ave Ste 820, Bala Cynwyd, PA 19004 |
| Colorado Business Entities | Liberty Health Care Solutions LLC | 11919 East Yale Avenue, Aurora, CO 80014 |
| Washington State Corporations | LIBERTY HEALTH CENTER LLC | 220 Winesap Ln, Selah, WA 98942-5601 |
| Colorado Business Entities | Liberty Health Exchange LLC | 205 East Warm Springs Road, Suite 108, Las Vegas, NV 89119 |
| Iowa Business Entities | LIBERTY HEALTH EXCHANGE LLC | 205 E Warm Springs Rd, Ste 108, Las Vegas, NV 89119 |
| Street Address |
4373 S HAMPTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75232-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195728 | Richard Charles Andrews | Family Medicine | 4373 S Hampton Rd, Ste 1, Dallas, TX 75232-1058 | 2006-04-24 |
| 1215304183 | Texas Health Calls Management LLC | Internal Medicine | 4373 S Hampton Rd, Ste 1, Dallas, TX 75232-1058 | 2015-08-27 |
| 1265813372 | Texas House Calls Management LLC | Clinic/Center | 4373 S Hampton Rd, Dallas, TX 75232 | 2015-06-15 |
| 1558742924 | Hampton Medical Clinic Management LLC | Clinic/Center | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2015-06-11 |
| 1346632239 | Sylvain Nitcheu Tientcheu | Nurse Practitioner | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2015-03-02 |
| 1235548165 | Dr Andrews Mcallen Medical Clinic Adult Practice Lp | Clinic/Center | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2014-08-05 |
| 1215340831 | Melissa D Holland | Nurse Practitioner | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2014-06-11 |
| 1821428590 | Khi Home Health Services LLC | Home Health | 4373 S Hampton Rd, 3-a, Dallas, TX 75232-1058 | 2013-11-18 |
| 1386073914 | Bisola Olumegbon | Nurse Practitioner | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2013-11-04 |
| 1740580901 | Treneva A Butler | Social Worker | 4373 S Hampton Rd, Dallas, TX 75232-1058 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705348 | Kimberly Mitchell | Technician | 5645 Elm Valley Ln, Dallas, TX 75232 | 2019-11-27 |
| 1457900607 | Jewelene Colbert | Technician | 1630 Oak Glen Trl., Dallas, TX 75232 | 2019-09-10 |
| 1700330032 | Ahad G Sheikh | Dentist | 4767 Vista Woods Blvd, Dallas, TX 75232 | 2016-08-03 |
| 1962881748 | Legacy Dental of Glen Oaks | Dentist | 4767 Vista Wood Blvd, Ste 110, Dallas, TX 75232 | 2015-05-26 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1356782098 | Sonja Lynette Shipp | Counselor | 5787 South Hampton Road, Suite 230-k, Dallas, TX 75232 | 2013-07-10 |
| 1073856233 | Heart To Heart Hospice of Dallas, LLC | Hospice Care, Community Based | 5787 S Hampton Rd Ste 430, Dallas, TX 75232 | 2013-04-05 |
| 1700131976 | Vivian Kay Thompson | Counselor | 5034 Haywood Pkwy, Dallas, TX - TEXAS 75232 | 2012-07-13 |
| 1821379819 | Cts - Cotton Traveling Service | Bus | 539 Meadow Health Lane, Dallas, TX 75232 | 2011-09-02 |
| 1467696781 | Faith Residential House Inc #1 | Exclusive Provider Organization | 6840 Brierfield Cir, Dallas, TX 75232 | 2009-04-30 |
| Find all providers in zip 75232 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442480 | Sydni Leigh Mcdonald-hughes | Chiropractor | 1152 N Buckner Blvd Ste 100b, Dallas, TX 75218-3435 | 2020-09-22 |
| 1093332157 | Musa S Hasan | Chiropractor | 9669 N Central Expy Ste 200, Dallas, TX 75231-5054 | 2020-07-06 |
| 1750905683 | James Jakes II | Chiropractor | 155 Parkhouse St # 103, Dallas, TX 75207-7211 | 2020-06-06 |
| 1386267052 | Demetris William Elia | Chiropractor | 7712 Royal Ln Apt C, Dallas, TX 75230-3704 | 2020-05-28 |
| 1093336547 | Michael Martinez | Chiropractor | 3619 Throckmorton St, Dallas, TX 75219-3743 | 2020-05-06 |
| 1588285746 | Sunghyun Kim | Chiropractor | 2000 Royal Ln Ste 105, Dallas, TX 75229-3881 | 2020-04-29 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1689205635 | Dallas Federal Physical Therapy and Rehabilitation LLC | Chiropractor | 8204 Elmbrook Dr Ste 175, Dallas, TX 75247-7212 | 2020-01-29 |
| 1669018560 | Light Matters, LLC | Chiropractor | 4400 W University Blvd Apt 17206, Dallas, TX 75209-3702 | 2019-11-26 |
| 1063055721 | Dallas Chiropractic & Injury Center Inc | Chiropractor | 2351 W Northwest Hwy Ste 3105, Dallas, TX 75220-4453 | 2019-10-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.