NPIMap

Individual provider Active NPI

Eric J Leon, D.C.

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1356526628
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8296 Issued in FL
Practice address
10189 Cleary Blvd Ste 103
Plantation, FL 33324-1027
Phone
(954) 472-6002
Fax
(954) 472-7111
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8296 FL Primary

Addresses

Primary practice location

10189 Cleary Blvd Ste 103
Plantation, FL 33324-1027

Mailing address

3471 N Federal Hwy Ste 411
Oakland Park, FL 33306-1050
Phone (954) 641-5366

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH8296FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Treatment Centers Current Accepting new patients
SD Health Holdings Current Accepting new patients
SD Health Holdings Current Accepting new patients
David E Yachter D.C., P.a. Chiropractor Past Accepting new patients
Elevation Health Plantation LLC Chiropractor PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1356526628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 N FEDERAL HWY STE 411",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061050",
            "telephone_number": "954-641-5366",
            "fax_number": "954-472-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10189 CLEARY BLVD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241027",
            "telephone_number": "954-472-6002",
            "fax_number": "954-472-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.