LESLIE LEE IV CHISHOLM (DC) – Chiropractor, NPI 1811705122

LESLIE LEE IV CHISHOLM (DC) is a healthcare provider. based in Land o lakes, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 15286 (FL). The NPI Number for LESLIE LEE IV CHISHOLM (DC) is 1811705122

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE LEE IV CHISHOLM (DC)
NPI
1811705122
Phone
(813) 475-1387
Address
17167 HALLANDALE LOOP APT 210
Enumeration Date
19 December 2024
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526662222111
Graduation Year
2024 (2 years ago)
PAC ID
0749718203
Group Practice PAC ID
6406844133
Professional Enrollment ID
I20250110003168
Address ID
FL346061140SP8466XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for LESLIE LEE IV CHISHOLM (DC)

  • 17167 HALLANDALE LOOP APT 210

    LAND O LAKES, FL 346388254

    Phone: (813) 475-1387

    Type: Mailing

  • 8466 NORTHCLIFFE BLVD

    SPRING HILL, FL 346061140

    Phone: (352) 666-2222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250110003168IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34638)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406844133View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
-FL
C H I R O P R A C T I CKS
Physician AssistantFL
Physical Therapist In Private PracticeFL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to LESLIE LEE IV CHISHOLM (DC)?
The federal identifier for LESLIE LEE IV CHISHOLM (DC) is NPI 1811705122.
Does this profile mean LESLIE LEE IV CHISHOLM (DC) is currently active?
Yes — LESLIE LEE IV CHISHOLM (DC) appears active in the national provider directory.
What kind of provider is LESLIE LEE IV CHISHOLM (DC)?
The page reflects Chiropractor for LESLIE LEE IV CHISHOLM (DC). Clinical services aligned with this taxonomy classification.
Where is LESLIE LEE IV CHISHOLM (DC)'s primary listing?
We display Land O Lakes, Florida because that is what the record indicates for LESLIE LEE IV CHISHOLM (DC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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