Individual provider Active NPI

Elvin Wayne Lessenger, DC

  • Chiropractor
  • Friendswood, TX
National Provider Identifier
1376588905
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8405 Issued in TX
Practice address
306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982
Phone
(281) 993-0464
Fax
(281) 993-0565
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8405 TX Primary

Addresses

Primary practice location

306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982

Mailing address

306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982
Phone (281) 993-0464

Other identifiers 3

IdentifierTypeStateIssuer
606090OtherTXBCBS PROVIDER ID
650802OtherTXUNITED PROVIDER ID
1416968-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000504 IA Practitioner - Chiropractic 2668668633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muscatine Chiropractic Center PCGroup PAC ID 8820190192, 2 clinicians

Practice addresses (Care Compare)

2209 2ND Ave
Muscatine, IA 52761-5258
Phone (563) 264-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8405TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Muscatine Chiropractic Center PC Chiropractor CurrentSince Mar 22, 2021 Accepting new patients
Friendswood Forever Well LLC Chiropractor PastSince Apr 12, 2017 Accepting new patients
Lessenger Chiropractic and Acupuncture Chiropractor PastSince Jul 1, 2000 Accepting new patients

Locations

2209 2nd Ave
Muscatine, IA 52761
Phone (563) 264-8825

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1376588905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S FRIENDSWOOD DR",
            "address_2": "STE D",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463982",
            "telephone_number": "281-993-0464",
            "fax_number": "281-993-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S FRIENDSWOOD DR",
            "address_2": "STE D",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463982",
            "telephone_number": "281-993-0464",
            "fax_number": "281-993-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSENGER",
        "first_name": "ELVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PROVIDER ID",
            "identifier": "606090",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED  PROVIDER ID",
            "identifier": "650802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416968-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.

Verify at the official NPI Registry.