Organization Active NPI

Ledesma Chiropractic

  • Chiropractor
  • Ridgecrest, CA
National Provider Identifier
1043573405
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31917 Issued in CA
Legal business name
LEDESMA CHIROPRACTIC
Practice address
139 Balsam St
Suite 1800
Ridgecrest, CA 93555-3837
Phone
(760) 559-3148
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. David Anthony Ledesma, D.C.NPI 1629376454
Title
Chiropractor, Owner
Phone
(760) 559-3148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 31917 CA Primary

Addresses

Primary practice location

139 Balsam St
Suite 1800
Ridgecrest, CA 93555-3837

Mailing address

139 Balsam St
Suite 1800
Ridgecrest, CA 93555-3837
Phone (760) 559-3148

National Provider Directory

National Provider Directory

Locations

139 Balsam St
Ste 1800
Ridgecrest, CA 93555
Phone (760) 559-3148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1043573405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BALSAM ST",
            "address_2": "SUITE 1800",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553837",
            "telephone_number": "760-559-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BALSAM ST",
            "address_2": "SUITE 1800",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553837",
            "telephone_number": "760-559-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDESMA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "760-559-3148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.