Sam Lezon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5931 Issued in MN

Practice address

1629 Hennepin Ave
Suite 250
Minneapolis, MN 55403-1742

Phone

(612) 486-5554

NPI assigned

May 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1023428992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HENNEPIN AVE",
            "address_2": "SUITE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 HENNEPIN AVE",
            "address_2": "SUITE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031742",
            "telephone_number": "612-486-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZON",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lexvold, CRNA
• Olivia Ashley Ley
• Debra Deann Leyes, R.PH. C.G.P.
• Vanessa Leyva Jimenez
• Zulema L Leyva
• Tashi Lhamo
• LHD, PLLC
• Bin Li, M.D.
• Boyangzi Li, MD, PHD
• Darren Li, MD

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.