Jacob John Leclair, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13879 Issued in FL

Practice address

298 S Nova Rd Ste E
Ormond Beach, FL 32174-0413

Phone

(386) 226-0081

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MI2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ace Family Chiropractic PLLCGroup PAC ID 7517402472, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Family Chiropractic PLLC

  • Chiropractor
  • Flint, MI
  • NPI 1871341602
  Medicare reassignment Care Compare group NPD Authorized official
• Hill Family Chiropractic

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1013095322
  Medicare reassignment NPD
• Dr Bruce D Serven PC

  • Sports Physician Chiropractor
  • Flint, MI
  • NPI 1235390162
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1841941283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MOONSTONE CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293748",
            "telephone_number": "989-493-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S NOVA RD STE E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740413",
            "telephone_number": "386-226-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence & Chona Wylie,M.D.,P.a
• Lays Medical, LLC (Sunshine by Daytona Assisted Living)
• Carol Lynn Learned, DC
• Roger Mark Learned, DC
• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
• Hyunseo Lee
• Peter Lee, MD
• Emily Belle Leep
• Dorothy Ann Lefford, OTR/L
• Leggett Primary Care Inc (Leggett Primary Care)

• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.