Individual provider Active NPI

David Scott Leidich, DC

  • Chiropractor
  • Durham, NC
National Provider Identifier
1891806766
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2418 Issued in NC
Practice address
14 Consultant PL 250
Durham, NC 27707-6320
Phone
(919) 403-1008
Fax
(919) 403-2917
NPI assigned
Aug 31, 2006
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2418 NC Primary

Addresses

Primary practice location

14 Consultant PL 250
Durham, NC 27707-6320

Mailing address

PO Box 52720
Durham, NC 27717-2720
Phone (919) 403-1008

Other identifiers 2

IdentifierTypeStateIssuer
890824LMedicaidNC
2451176AOtherNCMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000154 NC Practitioner - Chiropractic 2365630670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 S Estes Dr
Chapel Hill, NC 27514-2868
Phone (919) 951-4444

14 Consultant PL
Suite 250
Durham, NC 27707-6320
Phone (919) 403-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2418NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Leidich, PA Chiropractor CurrentSince Oct 1, 2002 Accepting new patients
Lifestyle Chiropractic, LLC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Triangle Medical Associates, PC Past Accepting new patients

Locations

121 S Estes Dr
#205B
Chapel Hill, NC 27514
Phone (919) 951-4444

14 Consultant Pl
Ste 250
Durham, NC 27707
Phone (919) 339-1835

3001 Academy Rd
Ste 230
Durham, NC 27707
Phone (919) 246-9497

3510 University Dr
Ste A
Durham, NC 27707
Phone (919) 403-1008

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1891806766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52720",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277172720",
            "telephone_number": "919-403-1008",
            "fax_number": "919-403-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CONSULTANT PL 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076320",
            "telephone_number": "919-403-1008",
            "fax_number": "919-403-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDICH",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890824L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2451176A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.