Individual provider Active NPI

Robert George Leib Jr., DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1104992452
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000871 Issued in VA
Practice address
397 Little Neck Rd
3400 Building, Suite 108
Virginia Beach, VA 23452-5765
Phone
(757) 431-2225
Fax
(757) 431-9314
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000871 VA Primary

Addresses

Primary practice location

397 Little Neck Rd
3400 Building, Suite 108
Virginia Beach, VA 23452-5765

Mailing address

397 Little Neck Rd
3400 Building, Suite 108
Virginia Beach, VA 23452-5765
Phone (757) 431-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000699 VA Practitioner - Chiropractic 5092873109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

397 Little Neck Rd
Virginia Beach, VA 23452-5764
Phone (757) 431-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leib LTD Chiropractor CurrentSince Jul 22, 2002 Accepting new patients

Locations

397 Little Neck Rd
Ste 108
Virginia Beach, VA 23452
Phone (757) 431-2225

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1104992452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3400 BUILDING, SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-431-2225",
            "fax_number": "757-431-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3400 BUILDING, SUITE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-431-2225",
            "fax_number": "757-431-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIB",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.