DR. DEREK LIBBY D.C.
NPI 1508233735
Chiropractor in Poway, CA

Q: What is Derek Libby's NPI number?

The NPI number for Derek Libby is 1508233735. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Q: What is Derek Libby's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Libby was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2015

12237 POWAY RD, POWAY, CA 92064(858) 486-3400 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Derek Libby D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK LIBBY D.C. (NPI 1508233735) is an individual chiropractor in Poway, California, licensed in California (33269) and active in the NPI registry since August 2015. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1508233735

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. DEREK LIBBYCredential: D.C.

Location Address12237 POWAY RDPoway, CA 92064-4217

Mailing Address12237 Poway RdPoway, CA 92064-4217 · (858) 486-3400

Phone(858) 486-3400

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 24, 2015

Last NPPES UpdateMarch 14, 2016

✔ NPI 1508233735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 33269

Definition

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.

12237 POWAY RD, Poway, CA 92064

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Libby D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638461502

PECOS Enrollment IDI20160713001771

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RALPH T GIVEN D.C.

Chiropractor

12237 POWAY RD
POWAY, CA 92064

San Diego County (858) 486-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Libby's NPI number?

The NPI number for Derek Libby is 1508233735. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Derek Libby located?

Derek Libby practices at 12237 Poway Rd, Poway, CA 92064. The listed phone number is (858) 486-3400.

What is Derek Libby's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derek Libby enrolled in Medicare?

Yes. Derek Libby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Libby was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.