Individual provider Active NPI

Lawrence E Le Roy III, D.C.

  • Chiropractor
  • Palm Desert, CA
National Provider Identifier
1427350149
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16693 Issued in CA
Practice address
77564 Country Club Dr Ste 100B
Palm Desert, CA 92211-0484
Phone
(760) 360-8700
Fax
(760) 771-4880
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16693 CA Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 100B
Palm Desert, CA 92211-0484

Mailing address

41749 Brownstown Dr
Bermuda Dunes, CA 92203-1042
Phone (760) 636-9893

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16693CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1427350149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41749 BROWNSTOWN DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031042",
            "telephone_number": "760-636-9893",
            "fax_number": "760-771-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 100B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-360-8700",
            "fax_number": "760-771-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE ROY",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2022-08-17",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.