David S. Leidich, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2418 Issued in NC

Legal business name

DAVID S. LEIDICH, PA

Practice address

3510 University Dr
Suite a
Durham, NC 27707-2658

Phone

(919) 403-1008

Fax

(919) 403-2917

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Scott Leidich, D.C.NPI 1891806766

Title

President/ Owner

Phone

(919) 403-1008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiropractic and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Scott Leidich, DC

  • Chiropractor
  • Durham, NC
  • NPI 1891806766
  Medicare reassignment NPD Authorized official
• Nicholas Guy Isbell, AGNP-C

  • General Practice Physician
  • Durham, NC
  • NPI 1982189353
  NPD (past)
• Mario Tadros Ghanem, MD

  • Adult Medicine Physician
  • NPI 1831371509
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1316045883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52720",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277172720",
            "telephone_number": "919-403-1008",
            "fax_number": "919-403-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 UNIVERSITY DR",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072658",
            "telephone_number": "919-403-1008",
            "fax_number": "919-403-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. LEIDICH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "LEIDICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "919-403-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890824L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenzi Kay Davey
• Samantha Claire Davey, PT, DPT
• David F Naftolowitz MD PC
• David M. Lambert, DDS, PA
• David Moore Jr
• David W. Stewart
• David Young Oh, LLC
• Amy Cummings Davidian, DDS
• Edward William Davidian Jr., DDS
• Nicole Frances Davidow, CCC-SLP

• Chiropractor in Durham, NC
• Providers in Durham, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.