Jay R Lesueur, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4038 Issued in AZ

Practice address

1426 E Broadway Rd
Mesa, AZ 85204-2330

Phone

(480) 890-2225

Fax

(480) 890-8482

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811071228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042330",
            "telephone_number": "480-890-2225",
            "fax_number": "480-890-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042330",
            "telephone_number": "480-890-2225",
            "fax_number": "480-890-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESUEUR",
        "first_name": "JAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jackson Lester Jr., M.D.
• Lesueur Physical Therapy LLC
• Darrel Don Lesueur, D.C.
• Glenn Taylor Lesueur, D.D.S.
• Janette Lesueur, FNP-C
• Robert Lesueur
• Scott T Lesueur, DDS
• Marc Alain Letellier, MD
• Robin Letofsky, RBT
• Lets Be Pals LLC

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• 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.
• 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.