Active NPI
Michael R. Leasenby, D.C.
- Orthopedic Chiropractor
- Moline, IL
National Provider Identifier
1275734808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- Practice address
- 3737 38TH Ave
Moline, IL 61265-6402 - Phone
- (309) 762-9662
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | IA | ||
| Nutrition Chiropractor | 111NN1001X | IL | ||
| Orthopedic Chiropractor | 111NX0800X | IL | Primary |
Addresses
Primary practice location
3737 38TH Ave
Moline, IL 61265-6402
Mailing address
3737 38TH Ave
Moline, IL 61265-6402
Phone (309) 762-9662
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007550 | IA | MD | Internist Chiropractor |
| 038-007550 | IL | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1275734808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 38TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656402",
"telephone_number": "309-762-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 38TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656402",
"telephone_number": "309-762-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASENBY",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.