NPIMap

Organization Active NPI

Lebaron Chiropractic Clinic, LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1053581785
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1007 Issued in AZ
Legal business name
LEBARON CHIROPRACTIC CLINIC, LLC
Practice address
55 S Stapley Dr
Mesa, AZ 85204-1101
Phone
(480) 969-6166
Fax
(480) 964-0020
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Michael Hill Lebaron, D.C.NPI 1093716383
Title
Owner
Phone
(480) 969-6166

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 1007 AZ Primary

Addresses

Primary practice location

55 S Stapley Dr
Mesa, AZ 85204-1101

Mailing address

55 S Stapley Dr
Mesa, AZ 85204-1101
Phone (480) 969-6166

National Provider Directory

National Provider Directory

Locations

55 S Stapley Dr
Mesa, AZ 85204
Phone (480) 969-6166

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1053581785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041101",
            "telephone_number": "480-969-6166",
            "fax_number": "480-964-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041101",
            "telephone_number": "480-969-6166",
            "fax_number": "480-964-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBARON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "LEBARON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-969-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.