Individual provider Active NPI

Darwin Stanley Leek, D.C.

  • Chiropractor
  • Grass Valley, CA
National Provider Identifier
1568408110
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15624DC Issued in CA
Practice address
605 S Auburn St
Ste: D
Grass Valley, CA 95945-7550
Phone
(530) 273-8082
Fax
(530) 273-1057
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15624DC CA Primary

Addresses

Primary practice location

605 S Auburn St
Ste: D
Grass Valley, CA 95945-7550

Mailing address

605 S Auburn St
Ste: D
Grass Valley, CA 95945-7550
Phone (530) 273-8082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000378 CA Practitioner - Chiropractic 9436253135 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 S Auburn St
Suite D
Grass Valley, CA 95945-7567

605 S Auburn St D
Grass Valley, CA 95945-7567
Phone (530) 273-8082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15624DCCAMDChiropractor
15624CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568408110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S AUBURN ST",
            "address_2": "STE: D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457550",
            "telephone_number": "530-273-8082",
            "fax_number": "530-273-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S AUBURN ST",
            "address_2": "STE: D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457550",
            "telephone_number": "530-273-8082",
            "fax_number": "530-273-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEK",
        "first_name": "DARWIN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15624DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.