Individual provider Active NPI

Terry Allan Lee, D.C.

  • Chiropractor
  • Woodland, CA
National Provider Identifier
1104957133
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16192 Issued in CA
Practice address
1115 Cottonwood St
Woodland, CA 95695-4318
Phone
(530) 661-1375
Fax
(530) 661-1199
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16192 CA Primary

Addresses

Primary practice location

1115 Cottonwood St
Woodland, CA 95695-4318

Mailing address

1115 Cottonwood St
Woodland, CA 95695-4318
Phone (530) 661-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1115 Cottonwood St
Woodland, CA 95695-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Wellness Chiropractic Corporation Chiropractor CurrentSince Apr 30, 2018 Accepting new patients

Locations

1115 Cottonwood St
Woodland, CA 95695
Phone (530) 661-1375

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1104957133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954318",
            "telephone_number": "530-661-1375",
            "fax_number": "530-661-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954318",
            "telephone_number": "530-661-1375",
            "fax_number": "530-661-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERRY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.