Community Chiropractic Health Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006832 Issued in MI

Legal business name

COMMUNITY CHIROPRACTIC HEALTH CENTER, P.C.

Practice address

489 W Main St
Lake Leelanau, MI 49653-9740

Phone

(231) 256-7877

Fax

(231) 256-9529

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell Allan Leblanc, D.C.NPI 1659374064

Title

Doctor/Owner

Phone

(231) 256-7877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell A Leblanc, D.C.

  • Chiropractor
  • Lake Leelanau, MI
  • NPI 1659374064
  Authorized official Same address or phone

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1982966511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "address_2": "489 W MAIN ST",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496530232",
            "telephone_number": "231-256-7877",
            "fax_number": "231-256-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 W MAIN ST",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496539740",
            "telephone_number": "231-256-7877",
            "fax_number": "231-256-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "231-256-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bogart Family Chiropractic
• Austin John Dunn, DDS
• Marie Genna Parent, DC
• Russell A Leblanc, D.C.
• Leelanau County
• Leelanau Family Chiropractic Inc

• Chiropractor in Lake Leelanau, MI
• Providers in Lake Leelanau, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.