Daniel Robert Leclere, D.C.
Individual provider Active NPI Chiropractor · Central City, IA
NPI 1982020772 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1982020772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 072766 (IA)
- Practice address
- 302 E Maple St
Central City, IA 52214-7732 - Phone
- (319) 438-1089
- Fax
- (319) 438-1091
- NPI assigned
- Mar 17, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
302 E Maple St
Central City, IA 52214-7732
Phone (319) 438-1089
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140329000343 | IA | Practitioner - Chiropractic | 4486885738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leclere Family Chiropractic PC | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 072766 | IA | Yes |
Addresses
Primary practice location
302 E Maple St
Central City, IA 52214-7732
Mailing address
302 E Maple St
P.O. Box 357
Central City, IA 52214-7732
Phone (319) 438-1089
Other providers in Central City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.