Daniel Christopher Leach, DC
Individual provider Active NPI Chiropractor · Imperial, MO
NPI 1346910486 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1346910486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2021036794 (MO)
- Practice address
- 1006 Main St Ste C
Imperial, MO 63052-2432 - Phone
- (636) 525-1175
- NPI assigned
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036794 | MO | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2021036794 | MO | Yes |
Addresses
Primary practice location
1006 Main St Ste C
Imperial, MO 63052-2432
Mailing address
1502 Prehistoric Hill Dr
Imperial, MO 63052-2288
Phone (636) 525-1175
Other providers in Imperial, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.