Individual provider Active NPI

Jason D Leavitt, D.C

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1235202847
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4690 Issued in CO
Practice address
7735 W Long Dr
Ste 11
Littleton, CO 80123-1266
Phone
(303) 904-0331
Fax
(303) 948-3153
NPI assigned
Nov 15, 2006
Last updated
May 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4690 CO Primary

Addresses

Primary practice location

7735 W Long Dr
Ste 11
Littleton, CO 80123-1266

Mailing address

7735 W Long Dr
Ste 11
Littleton, CO 80123-1266
Phone (303) 904-0331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000886 CO Practitioner - Chiropractic 6103722848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Health Medical Clinic IncGroup PAC ID 5890073894, 5 clinicians

Practice addresses (Care Compare)

7735 W Long Dr
Unit 12
Littleton, CO 80123-1262
Phone (303) 904-0331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4690COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Health Medical Clinic Inc Chiropractor CurrentSince Apr 21, 2016 Accepting new patients

Locations

7735 W Long Dr
Unit 11
Littleton, CO 80123
Phone (303) 904-0331

7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1235202847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR",
            "address_2": "STE 11",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231266",
            "telephone_number": "303-904-0331",
            "fax_number": "303-948-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR",
            "address_2": "STE 11",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231266",
            "telephone_number": "303-904-0331",
            "fax_number": "303-948-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.

Verify at the official NPI Registry.