Active NPI
Lawrence E Le Roy III, D.C.
- Chiropractor
- Palm Desert, CA
National Provider Identifier
1427350149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16693
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC16693 | CA | MD | Chiropractor |
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.