Leavitt Chiropractic Clinic Inc. PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2163 Issued in WA

Legal business name

LEAVITT CHIROPRACTIC CLINIC INC. PS

Practice address

1842 Iron St
Suite a
Bellingham, WA 98225-4646

Phone

(360) 676-9533

Fax

(360) 676-1581

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Clarence Nathan Leavitt, DCNPI 1568541118

Title

Chiropractor

Phone

(360) 676-9533

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Clarence Nathan Leavitt Jr., DC

  • Chiropractor
  • Bellingham, WA
  • NPI 1568541118
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1144592981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 IRON ST",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254646",
            "telephone_number": "360-676-9533",
            "fax_number": "360-676-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 IRON ST",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254646",
            "telephone_number": "360-676-9533",
            "fax_number": "360-676-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT CHIROPRACTIC CLINIC INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-676-9533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "14434",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Lazich, MS, LMHC, LPC
• Quynh Phuong Le, D.O.
• Lea Lin, LMHC PLLC
• Jonathan Leale, DC
• Learning Coach LLC
• Clarence Nathan Leavitt Jr., DC
• Kelsey Lebard
• Natasha Lebedev, RN
• Emily A Leblanc
• Ryan Leckie

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.