Russell A Leblanc, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006832 Issued in MI

Practice address

489 W Main St
Lake Leelanau, MI 49653-9740

Phone

(231) 256-7877

Fax

(231) 256-9529

NPI assigned

May 31, 2005

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Chiropractic Health Center, P.C.

  • Chiropractor
  • Lake Leelanau, MI
  • NPI 1982966511
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1659374064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 E HOHNKE RD",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "496219607",
            "telephone_number": "231-256-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 W MAIN ST",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496539740",
            "telephone_number": "231-256-7877",
            "fax_number": "231-256-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MICHIGAN",
            "identifier": "950D510120",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bogart Family Chiropractic
• Community Chiropractic Health Center, P.C.
• Austin John Dunn, DDS
• Marie Genna Parent, DC
• Leelanau County
• Leelanau Family Chiropractic Inc
• Heather Braun Muha, LLMSW
• Provemont Family Care, PLC
• Sarah Schaub, LLPC

• Chiropractor in Lake Leelanau, MI
• Providers in Lake Leelanau, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.