Active NPI
Leland Edward Carroll, D.C.
- Chiropractor
- Studio City, CA
National Provider Identifier
1396817359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26540
- Practice address
- 11650 Riverside Dr
Suite 8
Studio City, CA 91602-1093 - Phone
- (818) 760-4808
- Fax
- (818) 760-4809
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- 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 | DC26540 | CA | Primary |
Addresses
Primary practice location
11650 Riverside Dr
Suite 8
Studio City, CA 91602-1093
Mailing address
11650 Riverside Dr
Suite 8
Studio City, CA 91602-1093
Phone (818) 760-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11650 Riverside Dr
Suite 1
Studio City, CA 91602-1066
Phone (818) 647-1485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26540 | CA | MD | Chiropractor |
| 26540 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Chiropractic and Functional Health Solutions, Inc. | Chiropractor | Current | Accepting new patients |
Locations
11650 Riverside Dr
Ste 1
Studio City, CA 91602
Phone (818) 643-0517
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 and National Provider Directory roles.
-
- Chiropractor
- Studio City, CA
- NPI 1952932311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1396817359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11650 RIVERSIDE DR",
"address_2": "SUITE 8",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916021093",
"telephone_number": "818-760-4808",
"fax_number": "818-760-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 RIVERSIDE DR",
"address_2": "SUITE 8",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916021093",
"telephone_number": "818-760-4808",
"fax_number": "818-760-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "LELAND",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Studio City, CA
- Carleen Couture Evans Speech-Language Pathology Inc., a Professional C
- Carluza Hospice, Inc.
- Carnelian Psychological and Educational Group, Inc
- Julia Carpenter, MA, AMFT
- Carroll Chiropractic and Functional Health Solutions, Inc.
- Elizabeth Rose Carson, PSY.D., BCBA
- Casablanca Soberliving LLC.
- Gary Casias, CMT #2717
- Alexandra Leonela Castillo Cifuentes
- Napoleon M Castillo Jr., PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.