Individual provider Active NPI

Lionel JL Leger, D.C

  • Chiropractor
  • Miami Shores, FL
National Provider Identifier
1780810838
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9727 Issued in FL
Practice address
209 NE 95TH St
Suite 4
Miami Shores, FL 33138-2745
Phone
(305) 756-3940
Fax
(305) 756-3970
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9727 FL Primary

Addresses

Primary practice location

209 NE 95TH St
Suite 4
Miami Shores, FL 33138-2745

Mailing address

209 NE 95TH St
Suite 4
Miami Shores, FL 33138-2745
Phone (305) 756-3940

Other identifiers 1

IdentifierTypeStateIssuer
001384200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000146 FL Practitioner - Chiropractic 1951431949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leger Chiropractic LLC Chiropractor CurrentSince Jan 27, 2010 Accepting new patients
Restoration Well LLC PastSince Apr 16, 2023 Accepting new patients

Locations

9999 NE 2nd Ave
Ste 218
Miami Shores, FL 33138
Phone (305) 756-3940

9999 NE 2nd Ave
Miami Shores, FL 33138
Phone (305) 756-3940

209 NE 95th St
Ste 4
Miami Shores, FL 33138
Phone (305) 399-7485

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1780810838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST",
            "address_2": "SUITE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "305-756-3940",
            "fax_number": "305-756-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST",
            "address_2": "SUITE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "305-756-3940",
            "fax_number": "305-756-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "LIONEL",
        "middle_name": "JL",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001384200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.