Active NPI
Richard A Lezotte, D.C.
- Chiropractor
- Dewitt, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008037
- Practice address
- 1120 Commerce Park Dr
Suite D
Dewitt, MI 48820-7967 - Phone
- (517) 668-1300
- Fax
- (517) 669-7227
- NPI assigned
- Dec 9, 2005
- Last updated
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301008037 | MI | Primary |
Addresses
Primary practice location
1120 Commerce Park Dr
Suite D
Dewitt, MI 48820-7967
Mailing address
1120 Commerce Park Dr
Suite D
Dewitt, MI 48820-7967
Phone (517) 668-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4400042 | Other | MI | PHP |
| 950A950100 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2843 E Grand River Ave
Suite 170
East Lansing, MI 48823-6723
Phone (517) 337-7463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008037 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Spine & Sport, P.C. | Chiropractor | Current | Accepting new patients |
Locations
2843 E Grand River Ave
Ste 170
East Lansing, MI 48823
Phone (517) 327-5200
Organizations & group practices 1
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.
-
dba Total Health Chiropractic of East Lansing
- Chiropractor
- East Lansing, MI
- NPI 1902099757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1346225687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 COMMERCE PARK DR",
"address_2": "SUITE D",
"city": "DEWITT",
"state": "MI",
"postal_code": "488207967",
"telephone_number": "517-668-1300",
"fax_number": "517-669-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 COMMERCE PARK DR",
"address_2": "SUITE D",
"city": "DEWITT",
"state": "MI",
"postal_code": "488207967",
"telephone_number": "517-668-1300",
"fax_number": "517-669-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZOTTE",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "4400042",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950A950100",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.