Active NPI
Lee Chiropractic Center LLC
- Chiropractor
- Jackson, MO
National Provider Identifier
1104278399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015039253
- Legal business name
- LEE CHIROPRACTIC CENTER LLC
- Practice address
- 2625 E Jackson Blvd
Jackson, MO 63755-2916 - Phone
- (573) 243-3934
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James J Lee, D.C.
- Title
- President
- Phone
- (573) 243-3934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2015039253 | MO | Primary |
Addresses
Primary practice location
2625 E Jackson Blvd
Jackson, MO 63755-2916
Mailing address
2625 E Jackson Blvd
Jackson, MO 63755-2916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205297074 | Other | MO | INDIVIDUAL NPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1104278399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E JACKSON BLVD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 E JACKSON BLVD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552916",
"telephone_number": "573-243-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE CHIROPRACTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-243-3934",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MO",
"license": "2015039253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1205297074",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.