Organization Active NPI

Leanne M Walton LLC

  • Chiropractor
  • Sugar Grove, IL
National Provider Identifier
1134768161
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEANNE M WALTON LLC
Practice address
522 N Sugar Grove Pkwy Ste C
Sugar Grove, IL 60554-8111
Phone
(630) 270-7637
NPI assigned
Dec 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. Leanne Marie Walton, DCNPI 1942577374
Title
Owner
Phone
(609) 696-8803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

522 N Sugar Grove Pkwy Ste C
Sugar Grove, IL 60554-8111

Mailing address

4S140 State Route 47
Sugar Grove, IL 60554-9734
Phone (309) 696-8803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113000087 IL Part B Supplier - Clinic/Group Practice 3577998046 Receives reassigned benefits from 1 practitioner
Practice locations: Yorkville, IL

National Provider Directory

National Provider Directory

Locations

522 N Sugar Grove Pkwy
Ste C
Sugar Grove, IL 60554
Phone (309) 696-8803

129 Commercial Dr
Unit 9
Yorkville, IL 60560
Phone (630) 270-7637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1134768161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4S140 STATE ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549734",
            "telephone_number": "309-696-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N SUGAR GROVE PKWY STE C",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548111",
            "telephone_number": "630-270-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANNE M WALTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-696-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.