Active NPI
Erick Leffler, D.C.
- Chiropractor
- Syracuse, IN
National Provider Identifier
1891066189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002619A
- Practice address
- 201 E Palm Dr Ste E
Syracuse, IN 46567 - Phone
- (574) 457-7472
- Fax
- (574) 457-7103
- NPI assigned
- Jan 19, 2012
- Last updated
- Mar 7, 2012
- 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 | 08002619A | IN | Primary |
Addresses
Primary practice location
201 E Palm Dr Ste E
Syracuse, IN 46567
Mailing address
PO Box 91
Syracuse, IN 46567-0091
Phone (574) 457-7472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201051710 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
106 E Pickwick Dr
Syracuse, IN 46567-1713
Phone (574) 457-7472
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002619A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Spine and Rehabilitation Center | Chiropractor | Current | Accepting new patients |
Locations
106 E Pickwick Dr
Syracuse, IN 46567
Phone (574) 216-1839
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Syracuse, IN
- NPI 1366715252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1891066189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "SYRACUSE",
"state": "IN",
"postal_code": "465670091",
"telephone_number": "574-457-7472",
"fax_number": "574-457-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E PALM DR STE E",
"city": "SYRACUSE",
"state": "IN",
"postal_code": "46567",
"telephone_number": "574-457-7472",
"fax_number": "574-457-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFFLER",
"first_name": "ERICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002619A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201051710",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.