Individual provider Active NPI

Alexander Le Bon, D.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1013312800
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010226 Issued in MI
Practice address
2757 Leonard St NE Ste 200
Grand Rapids, MI 49525
Phone
(616) 458-8063
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010226 MI Primary

Addresses

Primary practice location

2757 Leonard St NE Ste 200
Grand Rapids, MI 49525

Mailing address

2757 Leonard St NE Ste 200
Grand Rapids, MI 49525-5807

Other practice location 1

5570 Wilson Ave SW
Suite L
Wyoming, MI 49418-8867
Phone (616) 259-9835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000387 MI Practitioner - Chiropractic 9133420557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simple Truth Chiropractic PLLCGroup PAC ID 4880831817, 2 clinicians
Simple Truth Chiropractic of HastingsGroup PAC ID 5395273544, 2 clinicians

Practice addresses (Care Compare)

2757 Leonard St NE
Suite 200
Grand Rapids, MI 49525-5807
Phone (616) 458-8063

50 N M 37 Hwy
Suite B
Hastings, MI 49058-7210
Phone (269) 400-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010226MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Truth Chiropractic of Hastings Chiropractor CurrentSince Aug 2, 2024 Accepting new patients
Simple Truth Chiropractic PLLC Chiropractor CurrentSince Nov 1, 2015 Accepting new patients
Simple Truth Chiropractic of Lake Odessa Chiropractor CurrentSince Apr 12, 2021 Accepting new patients
Balance GR Chiropractor Past Accepting new patients
Novo Chiropractic PLLC Chiropractor PastSince Aug 1, 2017 Accepting new patients

Locations

2757 Leonard St NE
Ste 200
Grand Rapids, MI 49525
Phone (616) 458-8063

50 N M 37 Hwy
Ste B
Hastings, MI 49058
Phone (269) 400-6650

1001 4th Ave
Lake Odessa, MI 48849
Phone (616) 278-0189

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • OH PPO
  • IL HMO C-SNP

Organizations & group practices 5

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1013312800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-458-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5570 Wilson Ave SW",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "494188867",
            "country_code": "US",
            "telephone_number": "616-259-9835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE BON",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.