Active NPI
John Leigh, DC
- Sports Physician Chiropractor
- Saint Michael, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3455
- Practice address
- 400 Central Ave E
Suite 70
Saint Michael, MN 55376-9525 - Phone
- (763) 497-2787
- Fax
- (763) 497-4325
- NPI assigned
- Feb 21, 2007
- Last updated
- May 8, 2015
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3455 | MN | Primary |
Addresses
Primary practice location
400 Central Ave E
Suite 70
Saint Michael, MN 55376-9525
Mailing address
13702 47TH St NE
Saint Michael, MN 55376-9499
Phone (763) 497-2787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226943100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Central Ave E
Suite 70
Saint Michael, MN 55376-4549
Phone (763) 497-2787
PO Box
306 400 Central Ave NE
St Michael, MN 55376-0306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3455 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Michael Spinal Rehab Center Inc | Current | Accepting new patients | |
| St. Michael Spinal Rehab Center, Inc | Current | Accepting new patients |
Locations
400 Central Ave E
Saint Michael, MN 55376
Phone (763) 497-2020
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Saint Michael, MN
- NPI 1487783965
-
- Physical Therapist
- Saint Michael, MN
- NPI 1467570226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1447395686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13702 47TH ST NE",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769499",
"telephone_number": "763-497-2787",
"fax_number": "763-497-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE E",
"address_2": "SUITE 70",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769525",
"telephone_number": "763-497-2787",
"fax_number": "763-497-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIGH",
"first_name": "JOHN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "3455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226943100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Michael, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.