Individual provider Active NPI

Robin R Lecy, D.C.

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1639109598
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
578 Issued in SD
Practice address
325 Omaha St
Suite 5
Rapid City, SD 57701-2803
Phone
(605) 718-5329
Fax
(605) 718-5334
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 578 SD Primary

Addresses

Primary practice location

325 Omaha St
Suite 5
Rapid City, SD 57701-2803

Mailing address

325 Omaha St
Suite 5
Rapid City, SD 57701-2803
Phone (605) 718-5329

Other identifiers 2

IdentifierTypeStateIssuer
00008457OtherSDBLUE CROSS BLUE SHIELD
7600672MedicaidSD

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

LicenseStateTypeSpecialty
578SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lecy Chiropractic PC Chiropractor PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1639109598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OMAHA ST",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012803",
            "telephone_number": "605-718-5329",
            "fax_number": "605-718-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OMAHA ST",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012803",
            "telephone_number": "605-718-5329",
            "fax_number": "605-718-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECY",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00008457",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600672",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.