Cody Allen Leder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5707 Issued in OR

Practice address

4630 River Rd N
Suite a
Keizer, OR 97303-4648

Phone

(503) 304-2225

Fax

(503) 304-2226

NPI assigned

Jan 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stayton Chiropractic, LLC

  • Chiropractor
  • Stayton, OR
  • NPI 1477011245
  Medicare reassignment NPD Authorized official
• Jeffery W. Baker D.C. P.C.

  • Chiropractor
  • Keizer, OR
  • NPI 1619142429
  Medicare reassignment NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1821454844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 RIVER RD N",
            "address_2": "SUITE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034648",
            "telephone_number": "503-304-2225",
            "fax_number": "503-304-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 RIVER RD N",
            "address_2": "SUITE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034648",
            "telephone_number": "503-304-2225",
            "fax_number": "503-304-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDER",
        "first_name": "CODY",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Laufer, PT
• Sydne Kay Lawrence, SLPA
• Adam Lawson, CADC
• Lebaron Dentistry, LLC
• Trenton K Lebaron, DMD
• Andrew Y Lee
• Jennifer Louise Lee, NP
• Kyubin Lee
• Carolyn Anne Leggett, RN
• Nathaniel Lemke, LMT

• Chiropractor in Keizer, OR
• Providers in Keizer, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.