Individual provider Active NPI

Leo J. Hart, D.C.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1629114509
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007783 Issued in FL
Practice address
500 SE Dixie Hwy Ste 2
Suite 2
Stuart, FL 34994-3054
Phone
(772) 288-6456
Fax
(772) 288-4195
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007783 FL Primary

Addresses

Primary practice location

500 SE Dixie Hwy Ste 2
Suite 2
Stuart, FL 34994-3054

Mailing address

500 SE Dixie Hwy Ste 2
Suite 2
Stuart, FL 34994-3054
Phone (772) 288-6456

Other identifiers 2

IdentifierTypeStateIssuer
033400OtherFLNEIGHBORHOOD HEALTH PLAN
53858OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080913000038 FL Practitioner - Chiropractic 9133295256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 SE Dixie Hwy
Suite 2
Stuart, FL 34994-3054
Phone (772) 223-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007783FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leo Joseph Hart DC PA Chiropractor CurrentSince Mar 28, 2012 Accepting new patients
Sunset Chiropractic Associates PA Chiropractor PastSince Feb 21, 2001 Accepting new patients

Locations

500 SE Dixie Hwy
Ste 2
Stuart, FL 34994
Phone (772) 223-9777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1629114509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE DIXIE HWY STE 2",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943054",
            "telephone_number": "772-288-6456",
            "fax_number": "772-288-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE DIXIE HWY STE 2",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943054",
            "telephone_number": "772-288-6456",
            "fax_number": "772-288-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "LEO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "033400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53858",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.