Organization Active NPI

Dr. Leigh a. Elceser P.C

  • Chiropractor
  • Pontiac, MI
National Provider Identifier
1255501888
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LE007043 Issued in MI
Legal business name
DR. LEIGH A. ELCESER P.C
Practice address
1044 Joslyn Ave
Pontiac, MI 48340-2930
Phone
(248) 332-0111
Fax
(248) 332-0880
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Leigh A Elceser, D.C.NPI 1952383549
Title
Chiropractor
Phone
(248) 332-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X LE007043 MI Primary

Addresses

Primary practice location

1044 Joslyn Ave
Pontiac, MI 48340-2930

Mailing address

1044 Joslyn Ave
Pontiac, MI 48340-2930
Phone (248) 332-0111

Other identifiers 1

IdentifierTypeStateIssuer
3202565MedicaidMI

Other names 1

  • joslyn chiropractic center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000723 MI Part B Supplier - Clinic/Group Practice 7214014711 Receives reassigned benefits from 1 practitioner
Practice locations: Pontiac, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1255501888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 JOSLYN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402930",
            "telephone_number": "248-332-0111",
            "fax_number": "248-332-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 JOSLYN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402930",
            "telephone_number": "248-332-0111",
            "fax_number": "248-332-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEIGH A. ELCESER P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ELCESER",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-332-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LE007043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202565",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "joslyn chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.