Active NPI
David Scott Leidich, DC
- Chiropractor
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2418
- 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, 2015
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890824L | Medicaid | NC | |
| 2451176A | Other | NC | MEDICARE PTAN |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2418 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S. Leidich, PA | Chiropractor | Current | Accepting new patients |
| Lifestyle Chiropractic, LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Chapel Hill, NC
- NPI 1588548903
-
dba InnovaMed
- Physical Medicine & Rehabilitation Physician
- Durham, NC
- NPI 1164907523
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.