Active NPI
Robert James Leslie, DC
- Chiropractor
- Mooresville, NC
National Provider Identifier
1063499457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NC 935
- Practice address
- 128 E Plaza Dr
Mooresville, NC 28115-8000 - Phone
- (704) 663-3777
- Fax
- (704) 664-6615
- NPI assigned
- Dec 27, 2005
- Last updated
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NC 935 | NC | Primary |
Addresses
Primary practice location
128 E Plaza Dr
Mooresville, NC 28115-8000
Mailing address
128 E Plaza Dr
Mooresville, NC 28115-8000
Phone (704) 663-3777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900961 | Medicaid | NC | |
| 8908587 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 935 | NC | MD | Marriage & Family Therapist |
| NC 935 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Chiropractic | Chiropractor | Past | Accepting new patients |
| The Pain & Rehab Institute, PA | Past | 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.
-
- Chiropractor
- Mooresville, NC
- NPI 1902968423
-
- Physical Medicine & Rehabilitation Physician
- Mooresville, NC
- NPI 1972673077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1063499457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E PLAZA DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158000",
"telephone_number": "704-663-3777",
"fax_number": "704-664-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E PLAZA DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158000",
"telephone_number": "704-663-3777",
"fax_number": "704-664-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "NC 935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900961",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908587",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.