Individual provider Active NPI

Leland Mitchell Giordano, D.C.

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1265564504
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8098 Issued in FL
Practice address
800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893
Phone
(772) 466-9575
Fax
(772) 466-9475
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8098 FL Primary

Addresses

Primary practice location

800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893

Mailing address

11220 SW Village CT Apt 211
Saint Lucie West, FL 34987-4431
Phone (561) 748-0325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209002254 FL Practitioner - Chiropractic 4688100050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth Gilmore DC PAGroup PAC ID 4385542174, 2 clinicians

Practice addresses (Care Compare)

800 Virginia Ave
Suite 45
Fort Pierce, FL 34982-5893
Phone (772) 466-9575

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Gilmore DC PA Chiropractor CurrentSince Nov 5, 2024 Accepting new patients

Locations

800 Virginia Ave
Ste 45
Fort Pierce, FL 34982
Phone (772) 266-7846

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1265564504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 SW VILLAGE CT APT 211",
            "city": "SAINT LUCIE WEST",
            "state": "FL",
            "postal_code": "349874431",
            "telephone_number": "561-748-0325",
            "fax_number": "561-748-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 45",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-466-9575",
            "fax_number": "772-466-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "LELAND",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.