Active NPI
Michael Brent Lea, D.C.
- Chiropractor
- Des Peres, MO
National Provider Identifier
1841882701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2020012250
- Practice address
- 13100 Manchester Suite 65
Des Peres, MO 63131 - Phone
- (636) 527-3015
- NPI assigned
- Feb 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2020012250 | MO | Primary |
Addresses
Primary practice location
13100 Manchester Suite 65
Des Peres, MO 63131
Mailing address
13100 Manchester Suite 65
Des Peres, MO 63131
Phone (636) 527-3015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020012250 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1841882701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 MANCHESTER SUITE 65",
"city": "DES PERES",
"state": "MO",
"postal_code": "63131",
"telephone_number": "636-527-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 MANCHESTER SUITE 65",
"city": "DES PERES",
"state": "MO",
"postal_code": "63131",
"telephone_number": "636-527-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "MICHAEL",
"middle_name": "BRENT",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2020012250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.