NPIMap

Organization Active NPI

Ledesma Chiropractic, Inc

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1528218666
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3611 Issued in OR
Legal business name
LEDESMA CHIROPRACTIC, INC
Practice address
825 NE 7TH St
Grants Pass, OR 97526-1634
Phone
(541) 955-7246
Fax
(541) 471-1928
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Anthony Ruiz Ledesma, D.C.
Title
President
Phone
(541) 207-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3611 OR Primary

Addresses

Primary practice location

825 NE 7TH St
Grants Pass, OR 97526-1634

Mailing address

825 NE 7TH St
Grants Pass, OR 97526-1634
Phone (541) 955-7246

Other identifiers 1

IdentifierTypeStateIssuer
J9619OtherORPACIFIC SOURCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1528218666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-955-7246",
            "fax_number": "541-471-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-955-7246",
            "fax_number": "541-471-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDESMA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-207-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J9619",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.