Individual provider Active NPI

Joshua Alan Lecker, D.C.

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1467635631
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2506 Issued in TN
Practice address
2106 Trenton Rd
Suite a
Clarksville, TN 37040-1633
Phone
(931) 647-7644
Fax
(931) 647-0122
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009694 PA
Chiropractor 111N00000X 2506 TN Primary
Chiropractor 111N00000X 5369 KY

Addresses

Primary practice location

2106 Trenton Rd
Suite a
Clarksville, TN 37040-1633

Mailing address

2106 Trenton Rd
Suite a
Clarksville, TN 37040-1633
Phone (931) 647-7644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000617 TN Practitioner - Chiropractic 3577608397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2106 Trenton Rd
Suite a
Clarksville, TN 37040-1633
Phone (931) 647-7677

2106 Trenton Rd a
Clarksville, TN 37040-1633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2506TNMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1467635631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 TRENTON RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401633",
            "telephone_number": "931-647-7644",
            "fax_number": "931-647-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 TRENTON RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401633",
            "telephone_number": "931-647-7644",
            "fax_number": "931-647-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKER",
        "first_name": "JOSHUA",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009694",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2506",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.

Verify at the official NPI Registry.