Individual provider Active NPI

Leif Lensgraf, D C

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1255458550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
974 Issued in LA
Practice address
1004 E Thomas St
Hammond, LA 70401-2737
Phone
(985) 365-0001
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 974 LA Primary

Addresses

Primary practice location

1004 E Thomas St
Hammond, LA 70401-2737

Mailing address

1004 E Thomas St
Hammond, LA 70401-2737
Phone (985) 365-0001

Other identifiers 1

IdentifierTypeStateIssuer
974OtherLASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000687 OR Practitioner - Chiropractic 8123036571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Chiropractic IncGroup PAC ID 4183923683, 3 clinicians

Practice addresses (Care Compare)

10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244
Phone (971) 254-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3974ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Chiropractic, Inc Chiropractor CurrentSince Mar 24, 2016 Accepting new patients

Locations

10355 NW Glencoe Rd
Ste B
North Plains, OR 97133
Phone (503) 647-9944

16742 SE Division St
Portland, OR 97236
Phone (503) 386-1996

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255458550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012737",
            "telephone_number": "985-365-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012737",
            "telephone_number": "985-365-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSGRAF",
        "first_name": "LEIF",
        "credential": "D C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "974",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.