Active NPI
Peter A Leopold, DC
- Sports Physician Chiropractor
- Oakland, CA
National Provider Identifier
1992264386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 34292
- Practice address
- 6330 Telegraph Ave
Oakland, CA 94609-1329 - Phone
- (510) 601-6330
- Fax
- (510) 601-6331
- NPI assigned
- Mar 15, 2019
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 34292 | CA | Primary |
Addresses
Primary practice location
6330 Telegraph Ave
Oakland, CA 94609-1329
Mailing address
6330 Telegraph Ave
Oakland, CA 94609-1329
Phone (510) 282-4479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1992264386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091329",
"telephone_number": "510-282-4479",
"fax_number": "510-601-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091329",
"telephone_number": "510-601-6330",
"fax_number": "510-601-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOPOLD",
"first_name": "PETER",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "34292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.