NPIMap

Organization Active NPI

Lebian Inc

Doing business as Purebred Athletics

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1316330053
Registry record updated Apr 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012126 Issued in NY
Legal business name
LEBIAN INC
Doing business as
Purebred Athletics
Practice address
11 Solar Dr
C
Clifton Park, NY 12065-3402
Phone
(518) 406-8788
NPI assigned
Mar 5, 2015
Last updated
Apr 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2015

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

Authorized official

Name
Ian Hogan, LMTNPI 1558658781
Title
President
Phone
(518) 406-8788

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012126 NY Primary
Massage Therapist 225700000X 024782 NY
Massage Therapist 225700000X 026344 NY
Massage Therapist 225700000X 024220 NY

Addresses

Primary practice location

11 Solar Dr
C
Clifton Park, NY 12065-3402

Mailing address

11 Solar Dr
C
Clifton Park, NY 12065-3402
Phone (518) 406-8788

Other names 1

  • Purebred Athletics Doing business as

National Provider Directory

National Provider Directory

Locations

11 Solar Dr
#C
Halfmoon, NY 12065
Phone (518) 406-8788

11C Solar Dr
Halfmoon, NY 12065
Phone (518) 348-0287

Practitioners & affiliated clinicians

Practitioners 1

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428710400000",
    "number": "1316330053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOLAR DR",
            "address_2": "C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653402",
            "telephone_number": "518-406-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOLAR DR",
            "address_2": "C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653402",
            "telephone_number": "518-406-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-04-11",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-406-8788",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012126",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024782",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026344",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purebred Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; 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.