Active NPI
Edward S Lequire, D.C.
- Chiropractor
- Rochester, MN
National Provider Identifier
1124161989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5119
- Practice address
- 2625 Highway 14 W
Suite B
Rochester, MN 55901-7597 - Phone
- (507) 208-4538
- Fax
- (507) 208-4539
- NPI assigned
- Feb 14, 2007
- 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 | 5119 | MN | Primary |
Addresses
Primary practice location
2625 Highway 14 W
Suite B
Rochester, MN 55901-7597
Mailing address
2625 Highway 14 W
Suite B
Rochester, MN 55901-7597
Phone (507) 208-4538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2625 Hwy 14 W
Suite B
Rochester, MN 55901-7978
Phone (507) 208-4538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2922 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Main Street Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1124161989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 HIGHWAY 14 W",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559017597",
"telephone_number": "507-208-4538",
"fax_number": "507-208-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 HIGHWAY 14 W",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559017597",
"telephone_number": "507-208-4538",
"fax_number": "507-208-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEQUIRE",
"first_name": "EDWARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.