Active NPI
Mario Albert Leza Jr., D.C.
- Chiropractor
- Lewisville, TX
National Provider Identifier
1326072679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9901
- Practice address
- 1409 Javelin Way
Lewisville, TX 75077-7633 - Phone
- (972) 971-0738
- Fax
- (972) 317-2967
- NPI assigned
- Jul 11, 2006
- Last updated
- Dec 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9901 | TX | Primary |
Addresses
Primary practice location
1409 Javelin Way
Lewisville, TX 75077-7633
Mailing address
1409 Javelin Way
Lewisville, TX 75077-7633
Phone (972) 221-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1774275 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9901 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| American Integrated Healthcare PLLC | Chiropractor | Past | Accepting new patients |
| Call Hall, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1326072679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 JAVELIN WAY",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750777633",
"telephone_number": "972-221-1000",
"fax_number": "972-221-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 JAVELIN WAY",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750777633",
"telephone_number": "972-971-0738",
"fax_number": "972-317-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZA",
"first_name": "MARIO",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1774275",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
- Lewisville Orthodontic Arts
- Lewisville Pulmonary Associates, PA
- Lewisville Smiles, P.L.L.C (All Smiles Dental & Orthodontics)
- Lewisville Surgery Center, LLC
- Lewisville Surgicare Partners, LTD (Baylor Surgicare at Lewisville)
- Lixia Liao
- Amanda Lidster, RD, LD
- Lifecycles, PLLC
- Lifelinerenalcare
- Lifesciences Imaging Partners, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.