NPIMap

Organization Active NPI

Leske Chiropractic, PA

  • Chiropractor
  • Edina, MN
National Provider Identifier
1386935831
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3891 Issued in MN
Legal business name
LESKE CHIROPRACTIC, PA
Doing business as
Health & Wellness Center - Edina
Practice address
6500 Barrie Rd
Suite 100
Edina, MN 55435-2348
Phone
(952) 562-2420
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. David S Leske, DCNPI 1467466102
Title
President
Phone
(952) 562-2420

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 3891 MN Primary

Addresses

Primary practice location

6500 Barrie Rd
Suite 100
Edina, MN 55435-2348

Mailing address

6500 Barrie Rd
Suite 100
Edina, MN 55435-2348
Phone (952) 562-2420

Other names 1

  • Health & Wellness Center - Edina Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110819000212 MN Part B Supplier - Clinic/Group Practice 0345410882 Receives reassigned benefits from 4 practitioners
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

6500 Barrie Rd
Ste 100
Edina, MN 55435
Phone (952) 562-2420

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1386935831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BARRIE RD",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352348",
            "telephone_number": "952-562-2420",
            "fax_number": "952-562-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BARRIE RD",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352348",
            "telephone_number": "952-562-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESKE CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "LESKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-562-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health & Wellness Center - Edina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.