NPIMap

Organization Active NPI

Leaf Chiropractic & Wellness Center, Inc.

  • Chiropractor
  • Delaware, OH
National Provider Identifier
1861673717
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2936 Issued in OH
Legal business name
LEAF CHIROPRACTIC & WELLNESS CENTER, INC.
Practice address
1012 State Route
Suite 101
Delaware, OH 43015
Phone
(740) 363-9705
Fax
(740) 368-9297
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Brian E Leaf, D.C.NPI 1679593628
Title
Doctor
Phone
(740) 363-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2936 OH Primary

Addresses

Primary practice location

1012 State Route
Suite 101
Delaware, OH 43015

Mailing address

1012 State Route 521
Suite 101
Delaware, OH 43015
Phone (740) 363-9705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000181 OH Part B Supplier - Clinic/Group Practice 6507887767 Receives reassigned benefits from 2 practitioners
Practice locations: Delaware, OH

National Provider Directory

National Provider Directory

Locations

1012 State Route 521
Ste 101
Delaware, OH 43015
Phone (740) 363-9705

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1861673717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 STATE ROUTE 521",
            "address_2": "SUITE 101",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-363-9705",
            "fax_number": "740-368-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 STATE ROUTE",
            "address_2": "SUITE 101",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-363-9705",
            "fax_number": "740-368-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAF CHIROPRACTIC & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "LEAF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "740-363-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.