Organization Active NPI

Leppen Chiropractic

  • Chiropractor
  • Southgate, MI
National Provider Identifier
1427197789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005986 Issued in MI
Legal business name
LEPPEN CHIROPRACTIC
Practice address
15461 Dix Toledo Rd
Southgate, MI 48195-2662
Phone
(734) 246-7711
Fax
(734) 246-9287
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cecilia Ingrid Leppen, D.C.
Title
Owner
Phone
(734) 246-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005986 MI Primary

Addresses

Primary practice location

15461 Dix Toledo Rd
Southgate, MI 48195-2662

Mailing address

15461 Dix Toledo Rd
Southgate, MI 48195-2662
Phone (734) 246-7711

Other identifiers 5

IdentifierTypeStateIssuer
5511712OtherMIAETNA
6097892OtherMICIGNA
P102140OtherMIBCN
027564OtherMIDMC
OH25308OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

15461 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 246-7711

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427197789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15461 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952662",
            "telephone_number": "734-246-7711",
            "fax_number": "734-246-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15461 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952662",
            "telephone_number": "734-246-7711",
            "fax_number": "734-246-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEPPEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEPPEN",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-246-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "005986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5511712",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6097892",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P102140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "027564",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OH25308",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.