Individual provider Active NPI

Alan Palmer Leonard II, DC

  • Chiropractor
  • Trumansburg, NY
National Provider Identifier
1306623558
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013756 Issued in NY
Practice address
5948 Sycamore Creek Dr
Trumansburg, NY 14886-9488
Phone
(607) 592-2801
NPI assigned
Sep 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013756 NY Primary

Addresses

Primary practice location

5948 Sycamore Creek Dr
Trumansburg, NY 14886-9488

Mailing address

1046 E Shore Dr
Ithaca, NY 14850-1028
Phone (607) 592-2801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830000663 VA Practitioner - Chiropractic 3072052356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuck Chiropractic CorporationGroup PAC ID 0547222739, 10 clinicians

Practice addresses (Care Compare)

60 Summerfield CT
Suite 101
Roanoke, VA 24019-4579
Phone (540) 890-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013756NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Aug 19, 2024 Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients

Locations

301 W Main St
Bedford, VA 24523
Phone (540) 586-1105

620 N Main St
Ste 202
Blacksburg, VA 24060

6206 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 563-0334

1212 Corporate Cir SW
Ste 100
Roanoke, VA 24018

60 Summerfield Ct
#101
Roanoke, VA 24019
Phone (540) 890-1444

Organizations & group practices 2

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1306623558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E SHORE DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501028",
            "telephone_number": "607-592-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 SYCAMORE CREEK DR",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869488",
            "telephone_number": "607-592-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ALAN",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.