Individual provider Active NPI

Stuart W Leinbach, D.C., C.C.E.P.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1386681575
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06138 Issued in IA
Practice address
3726 Queen CT. SW
Suite 102
Cedar Rapids, IA 52404
Phone
(319) 390-3914
Fax
(319) 390-3928
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06138 IA Primary

Addresses

Primary practice location

3726 Queen CT. SW
Suite 102
Cedar Rapids, IA 52404

Mailing address

PO Box 8898
Cedar Rapids, IA 52408-8898
Phone (319) 390-3914

Other identifiers 2

IdentifierTypeStateIssuer
46108OtherIABC/BS
1194282MedicaidIA

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

LicenseStateTypeSpecialty
A06138IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leinbach Chiropractic, P.C. Chiropractor PastSince Feb 10, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1386681575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8898",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524088898",
            "telephone_number": "319-390-3914",
            "fax_number": "319-390-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 QUEEN CT. SW",
            "address_2": "SUITE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-390-3914",
            "fax_number": "319-390-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINBACH",
        "first_name": "STUART",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "46108",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194282",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.