Active NPI
Craig M. Leis, D.C.
- Chiropractor
- Fort Mill, SC
National Provider Identifier
1013903988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3436
- Practice address
- 10384 Tintinhull Dr
Fort Mill, SC 29707-1574 - Phone
- (704) 502-7897
- Fax
- (704) 327-0793
- NPI assigned
- Sep 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1776 | NC | |
| Chiropractor | 111N00000X | 3436 | SC | Primary |
Addresses
Primary practice location
10384 Tintinhull Dr
Fort Mill, SC 29707-1574
Mailing address
10384 Tintinhull Dr
Fort Mill, SC 29707-1574
Phone (704) 502-7897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Chiropractic Clinic | Past | Accepting new patients | |
| Goebel Chiropractic and Family Wellness, P.a. | Past | Accepting new patients | |
| Daljit Buttar MD PC | Past | Accepting new patients | |
| Willmar Chiropractic Clinic P.a. | Chiropractor | Past | Accepting new patients |
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 4
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.
-
- Chiropractor
- Willmar, MN
- NPI 1417260779
-
- Interventional Pain Medicine Physician
- Raleigh, NC
- NPI 1518197839
-
- Primary Care Clinic/Center
- Plymouth, MN
- NPI 1205030509
-
- Public Health or Welfare Agency
- Monroe, NC
- NPI 1174085872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1013903988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10384 TINTINHULL DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297071574",
"telephone_number": "704-502-7897",
"fax_number": "704-327-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10384 TINTINHULL DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297071574",
"telephone_number": "704-502-7897",
"fax_number": "704-327-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIS",
"first_name": "CRAIG",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1776",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.