NPIMap

Organization Active NPI

Leader Heights Spine Joint & Nerve Associates LLC

  • Chiropractor
  • York, PA
National Provider Identifier
1376958629
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEADER HEIGHTS SPINE JOINT & NERVE ASSOCIATES LLC
Practice address
2595 S George St
Suite 7
York, PA 17403-5232
Phone
(717) 741-4848
Fax
(717) 650-6383
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Ms. Kimberly M Carozzi, D.CNPI 1679694533
Title
President
Phone
(717) 741-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2595 S George St
Suite 7
York, PA 17403-5232

Mailing address

2595 S George St
Suite 7
York, PA 17403-5232
Phone (717) 650-6383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203000131 PA Part B Supplier - Clinic/Group Practice 2062734007 Receives reassigned benefits from 1 practitioner
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

2595 S George St
Ste 7
York, PA 17403
Phone (717) 741-4848

2200 S George St
Ste E1
York, PA 17403
Phone (717) 741-4848

2200 S George St
Ste E
York, PA 17403
Phone (717) 880-2155

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1376958629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S GEORGE ST",
            "address_2": "SUITE 7",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035232",
            "telephone_number": "717-650-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S GEORGE ST",
            "address_2": "SUITE 7",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035232",
            "telephone_number": "717-741-4848",
            "fax_number": "717-650-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADER HEIGHTS SPINE JOINT & NERVE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CAROZZI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-741-4848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.