Active NPI
Todd Anthony Leach Jr., DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1548913635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0008470
- Practice address
- 838 W Drake Rd Ste 105
Fort Collins, CO 80526-5539 - Phone
- (602) 518-4851
- NPI assigned
- Jan 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0008470 | CO | Primary |
Addresses
Primary practice location
838 W Drake Rd Ste 105
Fort Collins, CO 80526-5539
Mailing address
775 W Lake St Unit 2528
Fort Collins, CO 80521-4749
Phone (602) 518-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
561 25 Rd
Unit 104
Grand Junction, CO 81505-1360
Phone (970) 989-9219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0008470 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethos Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
561 25 Rd
Unit 104
Grand Junction, CO 81505
Phone (970) 989-9219
561 25 Rd
Ste 104
Grand Junction, CO 81505
Phone (970) 341-8967
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.
-
- Chiropractor
- Grand Junction, CO
- NPI 1295444768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1548913635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 W LAKE ST UNIT 2528",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214749",
"telephone_number": "602-518-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 W DRAKE RD STE 105",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265539",
"telephone_number": "602-518-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "TODD",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0008470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.