Active NPI
Michelle Leach, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1679642771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27254
- Practice address
- 9474 Kearny Villa Rd Ste 111
San Diego, CA 92126-4596 - Phone
- (858) 231-1470
- Fax
- (858) 271-4754
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27254 | CA | Primary |
Addresses
Primary practice location
9474 Kearny Villa Rd Ste 111
San Diego, CA 92126-4596
Mailing address
9474 Kearny Villa Rd Ste 111
San Diego, CA 92126-4596
Phone (858) 231-1470
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0272540 | Other | CA | BLUE SHIELD OF CA |
| DC27254 | Other | CA | BLUE CROSS OF CA |
| DC27254 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9474 Kearny Villa Rd
Suite 113
San Diego, CA 92126-4596
Phone (858) 578-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27254 | CA | MD | Chiropractor |
| 27254 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Leach Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Locations
9474 Kearny Villa Rd
Ste 113
San Diego, CA 92126
Phone (858) 578-2070
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.
-
- Chiropractor
- San Diego, CA
- NPI 1780852574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1679642771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9474 KEARNY VILLA RD STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264596",
"telephone_number": "858-231-1470",
"fax_number": "858-271-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9474 KEARNY VILLA RD STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264596",
"telephone_number": "858-231-1470",
"fax_number": "858-271-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "DC0272540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA",
"identifier": "DC27254",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC27254",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.