Individual provider Active NPI

James G Leone, D.C.

  • Chiropractor
  • Boardman, OH
National Provider Identifier
1689774176
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
675 Issued in OH
Practice address
6775 Applewood Blvd.
Boardman, OH 44512-4940
Phone
(330) 758-2353
Fax
(330) 758-9733
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 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 675 OH Primary

Addresses

Primary practice location

6775 Applewood Blvd.
Boardman, OH 44512-4940

Mailing address

6775 Applewood Blvd.
Boardman, OH 44512-4940
Phone (330) 758-2353

Other identifiers 1

IdentifierTypeStateIssuer
0328210MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000163 OH Practitioner - Chiropractic 5395812804 Practice locations: Boardman, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
675OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lillibonn Chiropractor PastSince Mar 21, 2021 Accepting new patients
Applewood Injury Care Center, Inc Chiropractor PastSince Jan 1, 2005 Accepting new patients

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1689774176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD.",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD.",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.