Individual provider Active NPI

Leah Oleck, DC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1861893018
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5042-12 Issued in WI
Practice address
2066 Central Dr
Unit D
Green Bay, WI 54311-4244
Phone
(920) 430-0280
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5042-12 WI Primary

Addresses

Primary practice location

2066 Central Dr
Unit D
Green Bay, WI 54311-4244

Mailing address

2066 Central Dr
Unit D
Green Bay, WI 54311-4244
Phone (920) 430-0280

Other names 1

  • Dr. Leah Hetebrueg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922001536 WI Practitioner - Chiropractic 0941429054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Point Chiropractic LLCGroup PAC ID 9436438975, 2 clinicians

Practice addresses (Care Compare)

2066 Central Dr
Suite D
Green Bay, WI 54311-4244
Phone (920) 430-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5042-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Chiropractic LLC Chiropractor CurrentSince Dec 1, 2016 Accepting new patients

Locations

2066 Central Dr
Ste D
Green Bay, WI 54311
Phone (920) 430-0280

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1861893018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 CENTRAL DR",
            "address_2": "UNIT D",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114244",
            "telephone_number": "920-430-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 CENTRAL DR",
            "address_2": "UNIT D",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114244",
            "telephone_number": "920-430-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLECK",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5042-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HETEBRUEG",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.