Individual provider Active NPI

Dale Joseph Lebder, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1194903716
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008149 Issued in GA
Practice address
233 Peachtree St NE
Suite 2307
Atlanta, GA 30303-1504
Phone
(404) 924-7570
Fax
(404) 835-4461
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008149 GA Primary

Addresses

Primary practice location

233 Peachtree St NE
Suite 2307
Atlanta, GA 30303-1504

Mailing address

233 Peachtree St NE
Suite 2307
Atlanta, GA 30303-1504
Phone (404) 924-7570

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008149GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1194903716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PEACHTREE ST NE",
            "address_2": "SUITE 2307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031504",
            "telephone_number": "404-924-7570",
            "fax_number": "404-835-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PEACHTREE ST NE",
            "address_2": "SUITE 2307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031504",
            "telephone_number": "404-924-7570",
            "fax_number": "404-835-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBDER",
        "first_name": "DALE",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.