Individual provider Active NPI

Leealison Korniak

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1790548675
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003426A Issued in IN
Practice address
1422 Keystone Way
Carmel, IN 46032-3273
Phone
(317) 575-1115
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003426A IN Primary

Addresses

Primary practice location

1422 Keystone Way
Carmel, IN 46032-3273

Mailing address

7730 Hollow Ridge Cir
Indianapolis, IN 46256-1666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002747 IN Practitioner - Chiropractic 8224471024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H Hushower DC LLCGroup PAC ID 3870673056, 4 clinicians

Practice addresses (Care Compare)

1422 Keystone Way
Rangeline Chiroppractic
Carmel, IN 46032-3273
Phone (317) 575-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003426AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
H Hushower DC LLC Chiropractor CurrentSince Feb 2, 2024 Accepting new patients

Locations

1422 Keystone Way
Carmel, IN 46032
Phone (317) 575-1115

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1790548675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 HOLLOW RIDGE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 KEYSTONE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323273",
            "telephone_number": "317-575-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNIAK",
        "first_name": "LEEALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003426A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.