Organization Active NPI

Leefer Chiropractic Life Center

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1497924799
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001479L Issued in PA
Legal business name
LEEFER CHIROPRACTIC LIFE CENTER
Practice address
5600 Brownsville Rd
Pittsburgh, PA 15236-2935
Phone
(412) 655-2407
Fax
(412) 655-3511
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Edward Leefer, D.C.
Title
Owner/Pres
Phone
(412) 655-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC001479L PA Primary

Addresses

Primary practice location

5600 Brownsville Rd
Pittsburgh, PA 15236-2935

Mailing address

5600 Brownsville Rd
Pittsburgh, PA 15236-2935
Phone (412) 655-2407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120710000591 PA Part B Supplier - Clinic/Group Practice 7214192608 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

5600 Brownsville Rd
Pittsburgh, PA 15236
Phone (412) 655-2407

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1497924799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362935",
            "telephone_number": "412-655-2407",
            "fax_number": "412-655-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362935",
            "telephone_number": "412-655-2407",
            "fax_number": "412-655-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEFER CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LEEFER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "412-655-2407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001479L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.