Individual provider Active NPI

Roger C Ledlow, DC

  • Orthopedic Chiropractor
  • Tallahassee, FL
National Provider Identifier
1265601678
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH5784 Issued in FL
Practice address
3116 Capital Cir NE Ste 1
Tallahassee, FL 32308-7791
Phone
(850) 668-7062
Fax
(850) 386-5795
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH5784 FL Primary

Addresses

Primary practice location

3116 Capital Cir NE Ste 1
Tallahassee, FL 32308-7791

Mailing address

3116 Capital Cir NE Ste 1
Tallahassee, FL 32308-7791
Phone (850) 668-7062

Other identifiers 2

IdentifierTypeStateIssuer
22170OtherBCBS
P00081331OtherMM RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5784FLMDOrthopedic Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1265601678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 CAPITAL CIR NE STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087791",
            "telephone_number": "850-668-7062",
            "fax_number": "850-386-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 CAPITAL CIR NE STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087791",
            "telephone_number": "850-668-7062",
            "fax_number": "850-386-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDLOW",
        "first_name": "ROGER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH5784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MM RAILROAD",
            "identifier": "P00081331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.