Organization Active NPI

412 Performance Chiropractic LLC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1831571264
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011023 Issued in PA
Legal business name
412 PERFORMANCE CHIROPRACTIC LLC
Practice address
4898 Campbells Run Rd
Pittsburgh, PA 15205-1338
Phone
(412) 489-6036
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. William Ryan Leach, D.C.
Title
Chiropractor
Phone
(918) 691-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC011023 PA Primary

Addresses

Primary practice location

4898 Campbells Run Rd
Pittsburgh, PA 15205-1338

Mailing address

4898 Campbells Run Rd
Pittsburgh, PA 15205-1338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1831571264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 CAMPBELLS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 CAMPBELLS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051338",
            "telephone_number": "412-489-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "412 PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-691-1546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.