Individual provider Active NPI

Leroy Darwin Engelke, D.C.

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1821162298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15766 Issued in CA
Practice address
18102 Sky Park Cir Ste D
Irvine, CA 92614-6531
Phone
(949) 756-0764
Fax
(949) 756-0240
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

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 15766 CA Primary

Addresses

Primary practice location

18102 Sky Park Cir Ste D
Irvine, CA 92614-6531

Mailing address

15 Rosewood
Aliso Viejo, CA 92656-1508
Phone (949) 830-6295

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
15766CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821162298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROSEWOOD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561508",
            "telephone_number": "949-830-6295",
            "fax_number": "949-756-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 SKY PARK CIR STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146531",
            "telephone_number": "949-756-0764",
            "fax_number": "949-756-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKE",
        "first_name": "LEROY",
        "middle_name": "DARWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

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.