Individual provider Active NPI

Jacob Thomas Lesher, D.C.

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1740541960
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5650 Issued in MN
Practice address
1565 Thomas Center Dr
Eagan, MN 55122-2642
Phone
(651) 734-6959
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5650 MN Primary

Addresses

Primary practice location

1565 Thomas Center Dr
Eagan, MN 55122-2642

Mailing address

1565 Thomas Center Dr
Eagan, MN 55122-2642
Phone (651) 734-6959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic, P.a. CurrentSince Feb 1, 2013 Accepting new patients
Lesher Chiropractic PC Chiropractor Current Accepting new patients
Lifeclinic PA Past Accepting new patients

Locations

1565 Thomas Center Dr
Eagan, MN 55122
Phone (651) 734-6359

33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894

Organizations & group practices 3

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1740541960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 THOMAS CENTER DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222642",
            "telephone_number": "651-734-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 THOMAS CENTER DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222642",
            "telephone_number": "651-734-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESHER",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.