Active NPI
Leah Jean Pittmon, D.C.
- Chiropractor
- Duncanville, TX
National Provider Identifier
1386736809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9836
- Practice address
- 907 S Main St
Suite #207
Duncanville, TX 75137-2385 - Phone
- (972) 291-6102
- Fax
- (972) 291-6981
- NPI assigned
- Sep 29, 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 | 9836 | TX | Primary |
Addresses
Primary practice location
907 S Main St
Suite #207
Duncanville, TX 75137-2385
Mailing address
PO Box 159
Cedar Hill, TX 75106-0159
Phone (972) 291-6102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R0990 | Other | TX | BCBS TEXAS |
| 177087701 | Medicaid | TX |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1386736809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751060159",
"telephone_number": "972-291-6102",
"fax_number": "972-291-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S MAIN ST",
"address_2": "SUITE #207",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751372385",
"telephone_number": "972-291-6102",
"fax_number": "972-291-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMON",
"first_name": "LEAH",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "8R0990",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177087701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.