Timothy Bryan Leasenby, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038004891 Issued in IL

Practice address

3831 McCoy Dr
Suite 101
Aurora, IL 60504-4105

Phone

(630) 851-9222

Fax

(630) 851-9281

NPI assigned

Feb 7, 2007

Last updated

Apr 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Leasenby Clinic

  • Internist Chiropractor
  • Aurora, IL
  • NPI 1992856876
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1235279548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 MCCOY DR",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044105",
            "telephone_number": "630-851-9222",
            "fax_number": "630-851-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 MCCOY DR",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044105",
            "telephone_number": "630-851-9222",
            "fax_number": "630-851-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASENBY",
        "first_name": "TIMOTHY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038004891",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038004891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phi-Nga Minh Le, MD
• Phuong Lan Le
• Hannah Renee Leach
• David S Leader, MD
• Alexander Leasenby, D.C.
• Michelle Anita Lech, NP-C
• Annemarie Lecompte
• Henry Lee, DO
• Karen Morales Lee, M.D.
• Nicole Lee, PHARMD

• Internist Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.