Active NPI
Cecilia Ingrid Leppen, D.C.
- Chiropractor
- Southgate, MI
National Provider Identifier
1376606848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005986
- Practice address
- 15461 Dix Toledo Rd
Southgate, MI 48195-2662 - Phone
- (734) 246-7711
- Fax
- (734) 246-9287
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- 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 | 005986 | MI | Primary |
Addresses
Primary practice location
15461 Dix Toledo Rd
Southgate, MI 48195-2662
Mailing address
15461 Dix Toledo Rd
Southgate, MI 48195-2662
Phone (734) 246-7711
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027564 | Other | MI | DMC |
| 6097892 | Other | MI | CIGNA |
| OH25308 | Other | MI | BLUE CROSS BLUE SHIELD |
| P102140 | Other | MI | BCN |
| 5511712 | Other | MI | ATENA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005986 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Boston Chiropractic Life Center, Corporation | Chiropractor | Past | Accepting new patients |
| Beller Chiropractic Life Center, Inc | Chiropractor | Past | Accepting new patients |
| Roberts Chiropractic Life Center, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Southgate, MI
- NPI 1427197789
-
- Chiropractor
- Southgate, MI
- NPI 1871777490
-
dba Tecumseh Neck and Back Family Chiropractic, Inc.
- Chiropractor
- Tecumseh, MI
- NPI 1811196272
-
- Chiropractor
- Southgate, MI
- NPI 1598030728
NPI Registry JSON
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": "1376606848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15461 DIX TOLEDO RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952662",
"telephone_number": "734-246-7711",
"fax_number": "734-246-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15461 DIX TOLEDO RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952662",
"telephone_number": "734-246-7711",
"fax_number": "734-246-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPPEN",
"first_name": "CECILIA",
"middle_name": "INGRID",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "005986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMC",
"identifier": "027564",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6097892",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "OH25308",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P102140",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATENA",
"identifier": "5511712",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.