Individual provider Active NPI

Leonard M Linardos, D.C.

  • Radiology Chiropractor
  • Holiday, FL
National Provider Identifier
1336312925
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
CH8507 Issued in FL
Practice address
1817 US Highway 19
1817 US Hwy 19 South
Holiday, FL 34691-5536
Phone
(727) 937-6422
Fax
(727) 937-6769
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8507 FL
Radiology Chiropractor 111NR0200X CH8507 FL Primary

Addresses

Primary practice location

1817 US Highway 19
1817 US Hwy 19 South
Holiday, FL 34691-5536

Mailing address

1817 US Highway 19
Holiday, FL 34691-5536
Phone (727) 937-6422

Other identifiers 2

IdentifierTypeStateIssuer
1336312925MedicaidFL
381634600MedicaidFL

Other names 1

  • Dr. Lenny M Linardos Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Holiday

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000339 FL Practitioner - Chiropractic 6800780768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8507FLMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1336312925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915536",
            "telephone_number": "727-937-6422",
            "fax_number": "727-937-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 US HIGHWAY 19",
            "address_2": "1817 US HWY 19 SOUTH",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915536",
            "telephone_number": "727-937-6422",
            "fax_number": "727-937-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARDOS",
        "first_name": "LEONARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8507",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH8507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336312925",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381634600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Holiday",
            "affiliation": "N",
            "address_1": "1817 US Highway 19",
            "address_2": "1817 us hwy 19 south",
            "city": "Holiday",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346915536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LENNY",
            "last_name": "LINARDOS",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.