Individual provider Active NPI

Michael S Leblanc, DC

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1780175372
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1835 Issued in LA
Practice address
943 E McNeese St Ste a
Lake Charles, LA 70607-5835
Phone
(337) 508-2955
Fax
(337) 508-2954
NPI assigned
May 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1835 LA Primary

Addresses

Primary practice location

943 E McNeese St Ste a
Lake Charles, LA 70607-5835

Mailing address

943 E McNeese St Ste a
Lake Charles, LA 70607-5835
Phone (337) 508-2955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001640 LA Practitioner - Chiropractic 1557619749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

943 E McNeese St
Lake Charles, LA 70607-5835
Phone (337) 508-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1835LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Full of Grace Therapy LLC Single Specialty CurrentSince Apr 21, 2024 Accepting new patients
Peak Expression Chiropractic LLC Chiropractor CurrentSince Jan 31, 2022 Accepting new patients

Locations

943 E McNeese St
#A
Lake Charles, LA 70607
Phone (337) 508-2955

4211 Lake St
Ste 20
Lake Charles, LA 70605
Phone (337) 270-2424

943 E McNeese St
Lake Charles, LA 70607
Phone (337) 508-2955

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": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1780175372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 E MCNEESE ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075835",
            "telephone_number": "337-508-2955",
            "fax_number": "337-508-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 E MCNEESE ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075835",
            "telephone_number": "337-508-2955",
            "fax_number": "337-508-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.