Individual provider Active NPI

Deborah C. Leible, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1053491308
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10802 Issued in FL
Practice address
8090 Sorrento LN
Suite 3
Naples, FL 34114-2722
Phone
(239) 732-7625
NPI assigned
Oct 17, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-995 HI
Chiropractor 111N00000X X005494-1 NY
Chiropractor 111N00000X CH 10802 FL Primary

Addresses

Primary practice location

8090 Sorrento LN
Suite 3
Naples, FL 34114-2722

Mailing address

8090 Sorrento LN
Suite 3
Naples, FL 34114-2722
Phone (239) 732-7625

Other identifiers 3

IdentifierTypeStateIssuer
0000261370OtherHMSA
9223241OtherPHCS
1032614OtherAMERICAN SPECIALTY HEALTH

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

State licenses

LicenseStateTypeSpecialty
005494NYMDMental Health Counselor
CH 10802FLMDChiropractor
DC-995HIMDChiropractor
X005494-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah C Leible DC PC Chiropractor Past Accepting new patients
Healthyfitt LLC Chiropractor PastSince Feb 6, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1053491308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 SORRENTO LN",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341142722",
            "telephone_number": "239-732-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 SORRENTO LN",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341142722",
            "telephone_number": "239-732-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBLE",
        "first_name": "DEBORAH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-995",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005494-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000261370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9223241",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1032614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.