Individual provider Active NPI

Leah Dawidowicz, D.C.

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1114196060
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21199 Issued in CA
Practice address
7531 Santa Monica Blvd Ste 100
West Hollywood, CA 90046-6458
Phone
(323) 654-7716
Fax
(323) 654-7771
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21199 CA Primary

Addresses

Primary practice location

7531 Santa Monica Blvd Ste 100
West Hollywood, CA 90046-6458

Mailing address

7531 Santa Monica Blvd Ste 100
West Hollywood, CA 90046-6458
Phone (323) 654-7716

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
21199CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
Stellar Health Medical Group Inc PastSince Dec 1, 2007 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1114196060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 SANTA MONICA BLVD STE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466458",
            "telephone_number": "323-654-7716",
            "fax_number": "323-654-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 SANTA MONICA BLVD STE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466458",
            "telephone_number": "323-654-7716",
            "fax_number": "323-654-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWIDOWICZ",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.