NPIMap

Organization Active NPI

Leonard Chiropractic

  • Chiropractor
  • Fairview Park, OH
National Provider Identifier
1265630743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3068 Issued in OH
Legal business name
LEONARD CHIROPRACTIC
Practice address
21800 Lorain Rd
Fairview Park, OH 44126-3331
Phone
(440) 895-3500
Fax
(440) 895-3501
NPI assigned
Jul 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert A Leonard, D.C.NPI 1851449482
Title
Owner
Phone
(440) 895-3500

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 3068 OH Primary

Addresses

Primary practice location

21800 Lorain Rd
Fairview Park, OH 44126-3331

Mailing address

21800 Lorain Rd
Fairview Park, OH 44126-3331
Phone (440) 895-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019001249 OH Part B Supplier - Clinic/Group Practice 7719948199 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

2865 Detroit Ave
Cleveland, OH 44113
Phone (216) 353-2800

21800 Lorain Rd
Fairview Park, OH 44126
Phone (216) 712-6820

29540 Center Ridge Rd
Westlake, OH 44145
Phone (440) 895-3500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265630743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263331",
            "telephone_number": "440-895-3500",
            "fax_number": "440-895-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263331",
            "telephone_number": "440-895-3500",
            "fax_number": "440-895-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-895-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.