Organization Active NPI

Lelke Chiropractic Inc.

  • Chiropractor
  • Berkeley, CA
National Provider Identifier
1396008173
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31356 Issued in CA
Legal business name
LELKE CHIROPRACTIC INC.
Practice address
1530A 5TH St
Berkeley, CA 94710-1713
Phone
(510) 725-1179
Fax
(510) 943-5252
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Johanna Lelke, DCNPI 1437482353
Title
Chiropractor/President
Phone
(510) 725-1073

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 DC-31356 CA Primary

Addresses

Primary practice location

1530A 5TH St
Berkeley, CA 94710-1713

Mailing address

1530A 5TH St
Berkeley, CA 94710-1713
Phone (510) 725-1179

Other names 1

  • Onsight Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106000215 CA Part B Supplier - Clinic/Group Practice 8325472053 Receives reassigned benefits from 4 practitioners
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

1530 5th St
Berkeley, CA 94710
Phone (510) 488-3093

1530 5th St
#A
Berkeley, CA 94710

1530A 5th St
Berkeley, CA 94710
Phone (510) 305-4772

Practitioners & affiliated clinicians

Practitioners 7

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1396008173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530A 5TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101713",
            "telephone_number": "510-725-1179",
            "fax_number": "510-943-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530A 5TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101713",
            "telephone_number": "510-725-1179",
            "fax_number": "510-943-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELKE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "LELKE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "510-725-1073",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsight Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.