Organization Active NPI

Leighton Orthopaedics and Sports Medicine P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Supply, NC
National Provider Identifier
1437180726
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
LEIGHTON ORTHOPAEDICS AND SPORTS MEDICINE P.C.
Practice address
20 Medical Campus Dr
Suite 104
Supply, NC 28462-4096
Phone
(910) 575-5800
Fax
(910) 579-1174
NPI assigned
Jul 5, 2006
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Dr. Richard Matthew Leighton, D.O.NPI 1861489734
Title
Owner/Doctor
Phone
(910) 575-5800

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Primary

Addresses

Primary practice location

20 Medical Campus Dr
Suite 104
Supply, NC 28462-4096

Mailing address

20 Medical Campus Dr
Sutie 104
Supply, NC 28462-4096
Phone (910) 575-5800

Other identifiers 1

IdentifierTypeStateIssuer
89-51630MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000664 NC Part B Supplier - Clinic/Group Practice 3577524529 Receives reassigned benefits from 1 practitioner
Practice locations: Supply, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1437180726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR",
            "address_2": "SUTIE 104",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624096",
            "telephone_number": "910-575-5800",
            "fax_number": "910-579-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR",
            "address_2": "SUITE 104",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624096",
            "telephone_number": "910-575-5800",
            "fax_number": "910-579-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGHTON ORTHOPAEDICS AND SPORTS MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "LEIGHTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "910-575-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-51630",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.