Active NPI
Richard D Leone, D.C.
- Chiropractor
- Tacoma, WA
National Provider Identifier
1104873538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 910992806
- Practice address
- 1720 S 72ND St
Suite 201
Tacoma, WA 98408-1245 - Phone
- (253) 471-1287
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 910992806 | WA | Primary |
Addresses
Primary practice location
1720 S 72ND St
Suite 201
Tacoma, WA 98408-1245
Mailing address
PO Box 11009
Olympia, WA 98508-1009
Phone (253) 471-1287
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010924 | Medicaid | WA | |
| 7802LE | Other | WA | REGENCE |
| 0226231 | Other | WA | L&I |
| 3500022640 | Other | WA | MEDICARE RR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1104873538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11009",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985081009",
"telephone_number": "253-471-1287",
"fax_number": "253-471-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S 72ND ST",
"address_2": "SUITE 201",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081245",
"telephone_number": "253-471-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "910992806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2010924",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "7802LE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0226231",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "3500022640",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.