Individual provider Active NPI

Nicholas Eugene Leverette, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1710176987
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249746 Issued in KY
Practice address
3229 Summit Square PL Ste 150
Lexington, KY 40509-2668
Phone
(859) 263-2774
Fax
(859) 263-2787
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5163 KY
Chiropractor 111N00000X 249746 KY Primary
Chiropractor 111N00000X 10754 TX

Addresses

Primary practice location

3229 Summit Square PL Ste 150
Lexington, KY 40509-2668

Mailing address

3229 Summit Square PL Ste 150
Lexington, KY 40509-2668
Phone (859) 263-2774

Other practice location 1

1890 Star Shoot Pkwy
Suite #190
Lexington, KY 40509-4512
Phone (859) 263-2774

Other practice location 2

3650 Boston Rd Ste 188
Lexington, KY 40514-1502
Phone (859) 263-2774

Other practice location 3

3229 Summit Square Pl Ste 150
Lexington, KY 40509-2668
Phone (859) 263-2774

Other identifiers 1

IdentifierTypeStateIssuer
7100083070MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000110 KY Practitioner - Chiropractic 1052476322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3229 Summit Square PL
Suite 150
Lexington, KY 40509-2668
Phone (859) 263-2774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249746KYMDChiropractor
5163KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Hamburg PLLC Chiropractor CurrentSince Jan 22, 2009 Accepting new patients
Revive Chiropractic Centers Millpond LLC Chiropractor CurrentSince Aug 26, 2021 Accepting new patients

Locations

3229 Summit Square Pl
Ste 150
Lexington, KY 40509
Phone (859) 263-2774

1890 Star Shoot Pkwy
Ste 190
Lexington, KY 40509
Phone (859) 263-2774

3650 Boston Rd
Ste 188
Lexington, KY 40514
Phone (859) 219-0617

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1710176987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092668",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092668",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Star Shoot Pkwy",
            "address_2": "Suite #190",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405094512",
            "country_code": "US",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Boston Rd Ste 188",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405141502",
            "country_code": "US",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3229 Summit Square Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092668",
            "country_code": "US",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVERETTE",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5163",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "249746",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100083070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.