Kyle Aniello Leblanc, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2003017106 Issued in MO

Practice address

5809 S Lindbergh Blvd Ste B
Saint Louis, MO 63123-6948

Phone

(314) 416-8334

Fax

(314) 416-1199

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376606715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 S LINDBERGH BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236948",
            "telephone_number": "314-416-8334",
            "fax_number": "314-416-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 S LINDBERGH BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236948",
            "telephone_number": "314-416-8334",
            "fax_number": "314-416-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KYLE",
        "middle_name": "ANIELLO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003017106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "182555",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER ID",
            "identifier": "165003583098",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda M Lebbing, RN, ANP-BC
• Kay Noel Lebeau, OTR
• Alyssa Leblanc, CAA
• Bridget Leblanc, PHARM.D
• Cheri Lynn Leblanc, MD
• Michelle Nguyen Leblanc, DO
• Brian Louis Lebo, M.D.
• Dan Israel Lebovic, MD
• Lucas Paludi Lebovitz, MD
• Tammy Lebrell

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.