Active NPI
Cynthia C Leeder, D.C.
- Nutrition Chiropractor
- Carlsbad, CA
National Provider Identifier
1598786295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC16463
- Practice address
- 2725 Jefferson Street
Suite 4B
Carlsbad, CA 92008 - Phone
- (760) 434-4615
- Fax
- (760) 434-7191
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC16463 | CA | Primary |
Addresses
Primary practice location
2725 Jefferson Street
Suite 4B
Carlsbad, CA 92008
Mailing address
2725 Jefferson Street
Suite 4B
Carlsbad, CA 92008
Phone (760) 434-4615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0164630 | Other | CA | BLUE SHIELD OF CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC16463 | CA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1598786295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 JEFFERSON STREET",
"address_2": "SUITE 4B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "760-434-4615",
"fax_number": "760-434-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 JEFFERSON STREET",
"address_2": "SUITE 4B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "760-434-4615",
"fax_number": "760-434-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEDER",
"first_name": "CYNTHIA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC16463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "DC0164630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.