Active NPI
Gayle A Lebon, DC
- Chiropractor
- The Woodlands, TX
National Provider Identifier
1114911583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5929
- Practice address
- 5 Grogans Park Dr
#103
The Woodlands, TX 77380-2189 - Phone
- (281) 364-1496
- Fax
- (281) 364-1489
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- 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 | 5929 | TX | Primary |
Addresses
Primary practice location
5 Grogans Park Dr
#103
The Woodlands, TX 77380-2189
Mailing address
5 Grogans Park Dr
#103
The Woodlands, TX 77380-2189
Phone (281) 364-1496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603673 | Other | TX | BC/BS |
| 2045859 | Other | AETNA |
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 |
|---|---|---|---|
| 5929 | TX | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1114911583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GROGANS PARK DR",
"address_2": "#103",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802189",
"telephone_number": "281-364-1496",
"fax_number": "281-364-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GROGANS PARK DR",
"address_2": "#103",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802189",
"telephone_number": "281-364-1496",
"fax_number": "281-364-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBON",
"first_name": "GAYLE",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "603673",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2045859",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.