Active NPI
Robert John Leindecker, DC
- Chiropractor
- Grand Ledge, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006179
- Practice address
- 900 E Saginaw Hwy
Grand Ledge, MI 48837-9419 - Phone
- (517) 627-9111
- Fax
- (517) 627-1023
- NPI assigned
- Apr 20, 2006
- 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 | 2301006179 | MI | Primary |
Addresses
Primary practice location
900 E Saginaw Hwy
Grand Ledge, MI 48837-9419
Mailing address
900 E Saginaw Hwy
Grand Ledge, MI 48837-9419
Phone (517) 627-9111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-00210 | Other | MI | PHYSICIANS HEALTH PLAN MI |
| 4333928 | Medicaid | MI | |
| 0B310220 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 E Saginaw Hwy
Crafted Care Chiropractic
Grand Ledge, MI 48837-9419
Phone (517) 627-9111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301006179 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crafted Care Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Craft Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
| Jenison Chiropractic PLC | Chiropractor | Past | Accepting new patients |
| Aaron N Kik, D.C., P.C. | Chiropractor | Past | Accepting new patients |
Locations
223 Lansing St
Charlotte, MI 48813
Phone (517) 543-1115
900 E Saginaw Hwy
Grand Ledge, MI 48837
Phone (517) 627-9111
11653 Hartel Rd
Ste 3750
Grand Ledge, MI 48837
Phone (517) 627-9111
Organizations & group practices 4
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.
-
- Chiropractor
- Grand Ledge, MI
- NPI 1245385756
-
- Chiropractor
- Charlotte, MI
- NPI 1700849379
-
- Chiropractor
- Jenison, MI
- NPI 1275770430
-
- Chiropractor
- Hudsonville, MI
- NPI 1629212303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1922063809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E SAGINAW HWY",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488379419",
"telephone_number": "517-627-9111",
"fax_number": "517-627-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E SAGINAW HWY",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488379419",
"telephone_number": "517-627-9111",
"fax_number": "517-627-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINDECKER",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN MI",
"identifier": "44-00210",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4333928",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "0B310220",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.