Individual provider Active NPI

Paul Michael Leahy, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1477639433
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2282 Issued in CO
Practice address
175 S Union Blvd Ste 230
Colorado Springs, CO 80910-3125
Phone
(719) 473-7000
Fax
(719) 473-7479
NPI assigned
Oct 31, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2282 CO Primary

Addresses

Primary practice location

175 S Union Blvd Ste 230
Colorado Springs, CO 80910-3125

Mailing address

175 S Union Blvd Ste 230
Colorado Springs, CO 80910-3125
Phone (719) 473-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000627 CO Practitioner - Chiropractic 5395786156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9240 Explorer Dr
Suite 210
Colorado Springs, CO 80920-5006
Phone (719) 473-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Health, PLLC CurrentSince Oct 12, 2025 Accepting new patients
Performance Back Past Accepting new patients

Locations

9240 Explorer Dr
Ste 210
Colorado Springs, CO 80920
Phone (719) 400-7030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1477639433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103125",
            "telephone_number": "719-473-7000",
            "fax_number": "719-473-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD STE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103125",
            "telephone_number": "719-473-7000",
            "fax_number": "719-473-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.