Individual provider Active NPI

Leslie Michelle Fergang, DC

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1780740290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00005584 Issued in FL
Practice address
15830 W State Rd 84
Sunrise, FL 33326
Phone
(954) 389-5507
Fax
(954) 389-5508
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00005584 FL Primary

Addresses

Primary practice location

15830 W State Rd 84
Sunrise, FL 33326

Mailing address

15830 W State Rd 84
Sunrise, FL 33326
Phone (954) 389-5507

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00005584FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Health of Weston Chiropractor Past Accepting new patients
Westgate Chiropractic PA Chiropractor Past 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780740290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 W STATE RD 84",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-389-5507",
            "fax_number": "954-389-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 W STATE RD 84",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-389-5507",
            "fax_number": "954-389-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGANG",
        "first_name": "LESLIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00005584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.