Individual provider Active NPI

Todd L Lebson, DC

  • Chiropractor
  • Plainview, NY
National Provider Identifier
1760500151
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008647 Issued in NY
Practice address
54 Sunnyside Blvd
Suite B
Plainview, NY 11803-1517
Phone
(516) 433-5396
Fax
(516) 433-5386
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008647 NY Primary

Addresses

Primary practice location

54 Sunnyside Blvd
Suite B
Plainview, NY 11803-1517

Mailing address

4 Morris CT
Syosset, NY 11791-1825
Phone (516) 802-2476

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

State licenses

LicenseStateTypeSpecialty
X008647NYMDChiropractor
008647NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Chiropractic PC Chiropractor PastSince Mar 25, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1760500151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MORRIS CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911825",
            "telephone_number": "516-802-2476",
            "fax_number": "516-433-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "address_2": "SUITE B",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-433-5396",
            "fax_number": "516-433-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBSON",
        "first_name": "TODD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.