Active NPI
John Lesueur, D.C.
- Chiropractor
- Eden, NC
National Provider Identifier
1891269643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4993
- Practice address
- 405 Boone Rd
Eden, NC 27288-4967 - Phone
- (336) 627-7398
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 4993 | NC | Primary |
Addresses
Primary practice location
405 Boone Rd
Eden, NC 27288-4967
Mailing address
405 Boone Rd
Eden, NC 27288-4967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 Boone Rd
Eden, NC 27288-4967
Phone (336) 627-7398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4993 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R. Dabbs Jr. DC PC | Chiropractor | Current | Accepting new patients |
| Protherapy Concepts, Inc. | Past | Accepting new patients |
Locations
405 Boone Rd
Eden, NC 27288
Phone (336) 627-7398
723 S Van Buren Rd
Eden, NC 27288
723 S Van Buren Rd
Ste C
Eden, NC 27288
Phone (336) 627-7398
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Eden, NC
- NPI 1285788729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1891269643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967",
"telephone_number": "336-627-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESUEUR",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.