Thomas James Leeseberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

860 Issued in ND

Practice address

102 1St St. S.W.
Suite 1
Hillsboro, ND 58045-0309

Phone

(701) 636-2251

Fax

(701) 636-2015

NPI assigned

Mar 19, 2007

Last updated

Jan 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas J Leeseberg

  dba Traill County Chiropractic

  • Chiropractor
  • Hillsboro, ND
  • NPI 1295143055
  NPD (past) Authorized official
• Atkinson Family Chiropractic L.L.C.

  • Chiropractor
  • Atkinson, NE
  • NPI 1265669527
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1831213198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 309",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450309",
            "telephone_number": "701-636-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 1ST ST. S.W.",
            "address_2": "SUITE 1",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450309",
            "telephone_number": "701-636-2251",
            "fax_number": "701-636-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESEBERG",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1230",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15454",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillsboro Medical Center
• Hillsboro Medical Center
• Melissa Ann Ketterl, LBSW
• Allison Marie Klassen, LSW
• Jackelyn Marie Kraling, LSW
• Timothy J Luithle, MD
• Beth Morrow, MSW/LCSW
• Shayla Nygaard, DPT
• Blanca Ochoa
• Ann M Owens, PA-C

• Chiropractor in Hillsboro, ND
• Providers in Hillsboro, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.