Active NPI
Victor Leclair, DO
- Family Medicine Physician
- Des Moines, IA
National Provider Identifier
1609570076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 114343
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Phone
- (515) 643-2682
- Fax
- (515) 643-5802
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230605002645 | IA | Order and Referring Only - Family Practice | 2062879141 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- vleclair657267@direct.ochin.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-12775 | IA | |
| Family Medicine Physician | 207Q00000X | 114343 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1111 6TH Ave
Des Moines, IA 50314-2613
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
5700 Hillandale Dr Ste 100
Lithonia, GA 30058-4104
Phone (770) 593-6684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2026.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1609570076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-643-2682",
"fax_number": "515-643-5802"
}
],
"practiceLocations": [
{
"address_1": "5700 Hillandale Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300584104",
"country_code": "US",
"telephone_number": "770-593-6684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LECLAIR",
"first_name": "VICTOR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-12775",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "114343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.