Lee W. Hodge D.C. P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1439 Issued in AR

Legal business name

LEE W. HODGE D.C. P.A.

Practice address

1214 Hogan LN
Ste 200
Conway, AR 72034-8002

Phone

(501) 329-2774

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By 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. Lee W Hodge, D.C.NPI 1063492403

Title

Chiropractor

Phone

(501) 329-2774

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 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.

• Lee W Hodge, DC

  • Chiropractor
  • Conway, AR
  • NPI 1063492403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093801342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331600",
            "telephone_number": "501-329-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 HOGAN LN",
            "address_2": "STE 200",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348002",
            "telephone_number": "501-329-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE W. HODGE D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "501-329-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44-20060",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA SYSTEMS",
            "identifier": "S02725",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QCA",
            "identifier": "18895000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "5T646",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "5T646",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7211190",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE",
            "identifier": "5T646",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (RAILROAD)",
            "identifier": "P00228479",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Le, APRN
• Ashley Leach
• Lead Teach Mentor, LLC (Thriveworks Conway)
• Lead, Teach, Mentor LLC (Thriveworks Conway)
• Leaps and Bounds Pediatric Therapy
• Amanda Lee, COTA
• Brittini Lee
• Dierra Lee, RECOVERY ASSISTANT
• Hyung Rock Lee, ATC
• Jonathan Edward Lee, MD

• Chiropractor in Conway, AR
• Providers in Conway, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.