Active NPI
Martin Davis Lee, D.C.
- Chiropractor
- Benson, NC
National Provider Identifier
1063580447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2523
- Practice address
- 106 South Elm Street
Benson, NC 27504 - Phone
- (919) 894-3600
- Fax
- (919) 894-2535
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2523 | NC | Primary |
Addresses
Primary practice location
106 South Elm Street
Benson, NC 27504
Mailing address
PO Box 1072
Benson, NC 27504-1072
Phone (919) 894-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890833L | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120424000520 | NC | Practitioner - Chiropractic | 9133381981 | Practice locations: Benson, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 S Elm St
Benson, NC 27504-1517
Phone (919) 894-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2523 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063580447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1072",
"city": "BENSON",
"state": "NC",
"postal_code": "275041072",
"telephone_number": "919-894-3600",
"fax_number": "919-894-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SOUTH ELM STREET",
"city": "BENSON",
"state": "NC",
"postal_code": "27504",
"telephone_number": "919-894-3600",
"fax_number": "919-894-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARTIN",
"middle_name": "DAVIS",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890833L",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.