Leslie Marie Banic, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034311 Issued in WA

Practice address

1505 NW Gilman Blvd
Suite 8
Issaquah, WA 98027-5398

Phone

(425) 313-9222

Fax

(425) 313-9339

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Banic Chiropractic Company

  • Chiropractor
  • Issaquah, WA
  • NPI 1609069632
  NPD (past)
• Chiro One Wellness Center of Issaquah PLLC

  • Chiropractor
  • Issaquah, WA
  • NPI 1154085421
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336167493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD",
            "address_2": "SUITE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-313-9222",
            "fax_number": "425-313-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD",
            "address_2": "SUITE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-313-9222",
            "fax_number": "425-313-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIC",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy L Ball, D.M.D
• Rashida Ballard, MSW, LICSW, CDE
• Saige Danielle Ballard
• Banic Chiropractic Company
• Ante Banic, D.C.
• Larry Banning, LMP
• Shradha Bansal, DDS
• Pilar Baquero-Young, MD
• Simon Barei
• Stacey B Bargmeyer-Hutchison, AUD

• Chiropractor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.