Active NPI
James W Leonette, D.C.
- Chiropractor
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 928
- Practice address
- 130 Professional PL
Bridgeport, WV 26330-4599 - Phone
- (304) 933-9355
- Fax
- (304) 278-3348
- NPI assigned
- Feb 4, 2009
- Last updated
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3967 | OH | |
| Chiropractor | 111N00000X | 928 | WV | Primary |
| Chiropractor | 111N00000X | 0104556672 | VA |
Addresses
Primary practice location
130 Professional PL
Bridgeport, WV 26330-4599
Mailing address
130 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 933-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 933-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 928 | WV | MD | Clinical Psychologist |
| 0104556672 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enliven Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
103 E Main St
Ste 3
Bridgeport, WV 26330
Phone (304) 933-9355
130 Professional Pl
Bridgeport, WV 26330
Phone (304) 933-9355
Organizations & group practices 1
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.
-
- Chiropractor
- Bridgeport, WV
- NPI 1588911770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1235377896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-933-9355",
"fax_number": "304-278-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-933-9355",
"fax_number": "304-278-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONETTE",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3967",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "928",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.