Organization Active NPI

Lecy Chiropractic PC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1891977963
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LECY CHIROPRACTIC PC
Practice address
1406 Mt. Rushmore Rd
Rapid City, SD 57701-4582
Phone
(605) 343-7440
Fax
(605) 342-7868
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Douglas Joseph Lecy, D.C.NPI 1740225259
Title
Vice President
Phone
(605) 343-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SD Primary

Addresses

Primary practice location

1406 Mt. Rushmore Rd
Rapid City, SD 57701-4582

Mailing address

1406 Mt. Rushmore Rd
Rapid City, SD 57701-4582
Phone (605) 343-7440

Other identifiers 1

IdentifierTypeStateIssuer
7601990MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603001070 SD Part B Supplier - Clinic/Group Practice 2961484811 Receives reassigned benefits from 2 practitioners
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

1406 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 343-7440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1891977963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MT. RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014582",
            "telephone_number": "605-343-7440",
            "fax_number": "605-342-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MT. RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014582",
            "telephone_number": "605-343-7440",
            "fax_number": "605-342-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "LECY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-343-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.