Leach Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEACH CHIROPRACTIC CLINIC LLC

Doing business as

Leach Chiropractic Clinic

Practice address

214 Russell St
Starkville, MS 39759-3381

Phone

(662) 323-2371

Fax

(662) 323-2382

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Leach, DCNPI 1528145125

Title

Owner/Member

Phone

(662) 352-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leach Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Alan Leach, DC, MS, CHES

  • Chiropractor
  • Starkville, MS
  • NPI 1528145125
  Medicare reassignment Care Compare group NPD Authorized official
• Madison Scoggin McKee, DC

  • Chiropractor
  • Starkville, MS
  • NPI 1396451902
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1043830946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80121",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397590121",
            "telephone_number": "662-323-2371",
            "fax_number": "662-323-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RUSSELL ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593381",
            "telephone_number": "662-323-2371",
            "fax_number": "662-323-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEACH CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "662-352-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05303732",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leach Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Cain Langley, PT
• William T Langley, DPT
• Lori Latham, LPC
• Shanta B Lawrence Holmes, MS
• LD-Starkville (Starkville Dental)
• Robert Alan Leach, DC, MS, CHES
• Aubree Allison Lee, COTA/L
• Janeann Lee, M.A. CCC-A
• Meredith Ann Lee, OTD, OTR/L
• Paul Kenneth Lee, ATC

• Chiropractor in Starkville, MS
• Providers in Starkville, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.