Active NPI
Enliven Chiropractic PLLC
- Chiropractor
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 928
- Legal business name
- ENLIVEN CHIROPRACTIC PLLC
- Practice address
- 130 Professional PL
Bridgeport, WV 26330 - Phone
- (304) 933-9355
- NPI assigned
- Aug 7, 2012
- Last updated
- Apr 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James W Leonette, D.C.
- Title
- Owner
- Phone
- (304) 933-9355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 928 | WV | Primary |
Addresses
Primary practice location
130 Professional PL
Bridgeport, WV 26330
Mailing address
130 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 933-9355
Other practice location 1
103 E Main St
Suite 3
Bridgeport, WV 26330-1706
Phone (304) 933-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 E Main St
Ste 3
Bridgeport, WV 26330
Phone (304) 933-9355
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bridgeport, WV
- NPI 1235377896
-
- Chiropractor
- Bridgeport, WV
- NPI 1356866818
-
- Chiropractor
- Bridgeport, WV
- NPI 1326586553
-
- Chiropractor
- Grafton, WV
- NPI 1891234795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555286400000",
"number": "1588911770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-933-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-9355"
}
],
"practiceLocations": [
{
"address_1": "103 E Main St",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263301706",
"country_code": "US",
"telephone_number": "304-933-9355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENLIVEN CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-07",
"last_updated": "2019-04-15",
"status": "A",
"authorized_official_last_name": "LEONETTE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-933-9355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.