Organization Active NPI

Michael a Leake DC PC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1477955052
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MICHAEL A LEAKE DC PC
Practice address
4219 NW 21St St
Cape Coral, FL 33993-3439
Phone
(412) 260-6120
Fax
(412) 291-1150
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Michael Leake, DC
Title
Owner
Phone
(412) 260-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4219 NW 21St St
Cape Coral, FL 33993-3439

Mailing address

4219 NW 21St St
Cape Coral, FL 33993-3439
Phone (412) 260-6120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1477955052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 NW 21ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933439",
            "telephone_number": "412-260-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 NW 21ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933439",
            "telephone_number": "412-260-6120",
            "fax_number": "412-291-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A LEAKE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-260-6120",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.