Shane- Anthony Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

155530 Issued in AK

Practice address

750 W Dimond Blvd Ste 121
Anchorage, AK 99515-1515

Phone

(907) 344-0033

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arctic Chiropractic East AnchorageGroup PAC ID 4981945680, 2 clinicians

Chiro One Wellness Center of Anchorage East LLCGroup PAC ID 8224491014, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Arctic Chiropractic East Anchorage

  • Chiropractor
  • Anchorage, AK
  • NPI 1134684541
  Medicare reassignment Care Compare group NPD
• Chiro One Wellness Center of Anchorage East LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1154013217
  Medicare reassignment Care Compare group NPD
• Arctic Medical Center

  • Medical Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1962040006
  Medicare reassignment NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1043842404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN PARK DR STE 140",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153534",
            "telephone_number": "907-222-6122",
            "fax_number": "907-205-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD STE 121",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151515",
            "telephone_number": "907-344-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Huffman Park Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995153534",
            "country_code": "US",
            "telephone_number": "907-222-6122",
            "fax_number": "907-205-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHANE- ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "155530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ok-Kyu Lee, DDS
• Raina Sooyeon Lee
• Rebecca Lee, RBT,EMT, PBT
• Sanghyuk Lee, DDS
• Sean Michael Lee, M.D.
• Shirtanna Alexis Lee
• Shoua Nah Lee
• Tsemeng Lee
• Summer D Lefebvre, LCSW
• Mary (Dolly) E Lefever, NP

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.

Verify at the official NPI Registry.