Leary Sport and Spine Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32175 Issued in CA

Legal business name

LEARY SPORT AND SPINE CHIROPRACTIC

Practice address

16049 Tuscola Rd Ste B
Apple Valley, CA 92307-0824

Phone

(760) 242-4111

Fax

(760) 242-4555

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Matthew D LearyNPI 1104198506

Title

Owner

Phone

(760) 242-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D Leary, D.C.

  • Chiropractor
  • Apple Valley, CA
  • NPI 1104198506
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1821364365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 TUSCOLA RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070824",
            "telephone_number": "760-242-4111",
            "fax_number": "760-242-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16049 TUSCOLA RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070824",
            "telephone_number": "760-242-4111",
            "fax_number": "760-242-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARY SPORT AND SPINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-4111"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Lawrence, D.C.
• Rachelle Lawson
• Huy Le
• William Van Le, PHARM.D.
• Luis Leal
• Matthew D Leary, D.C.
• Andrew Tayson Ledbetter
• Brenda K. Lee Simon, AMFT
• Alexander Sang-Hyun Lee, M.D
• Andrew Sanghwui Lee, DMD

• Chiropractor in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.