Individual provider Active NPI

Christopher Leatherman, D.C.

  • Chiropractor
  • Baldwin City, KS
National Provider Identifier
1689611964
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104834 Issued in KS
Practice address
412 Ames St
Baldwin City, KS 66006-3099
Phone
(785) 594-4894
Fax
(785) 594-2597
NPI assigned
Jun 2, 2006
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2002020065 MO
Chiropractor 111N00000X 0104834 KS Primary

Addresses

Primary practice location

412 Ames St
Baldwin City, KS 66006-3099

Mailing address

412 Ames St
Baldwin City, KS 66006-3099
Phone (785) 594-4894

Other identifiers 3

IdentifierTypeStateIssuer
33086038OtherMOBCBS
20-4236321OtherFEIN - INDIVIDUAL
26-0522906OtherFEIN - GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123001629 KS Practitioner - Chiropractic 6608822077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodrock Chiropractic PAGroup PAC ID 2062461403, 4 clinicians

Practice addresses (Care Compare)

603 Ames St
Baldwin City, KS 66006-5200
Phone (785) 594-4894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104834KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodrock Chiropractic, P.a. Chiropractor CurrentSince Jan 1, 2026 Accepting new patients
Mdcha Inc Chiropractor CurrentSince Jan 1, 2026 Accepting new patients
Joseph R Conigliaro, DC Chiropractor Past Accepting new patients
Perusich Chiropractic Associates, LLC Chiropractor Past Accepting new patients
Kansas City Pain Management PA Chiropractor Past Accepting new patients
Leatherman Clinic, Inc. Chiropractor PastSince Dec 1, 2007 Accepting new patients

Locations

412 Ames St
Baldwin City, KS 66006
Phone (785) 594-4894

603 Ames St
Baldwin City, KS 66006
Phone (785) 434-9399

1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049
Phone (785) 764-1775

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1689611964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 AMES ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660063099",
            "telephone_number": "785-594-4894",
            "fax_number": "785-594-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 AMES ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660063099",
            "telephone_number": "785-594-4894",
            "fax_number": "785-594-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002020065",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33086038",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN - INDIVIDUAL",
            "identifier": "20-4236321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN - GROUP",
            "identifier": "26-0522906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.