Organization Active NPI

Dae S. Lee, D.C. Inc., a Chiropractic Corporation

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1124405444
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27623 Issued in CA
Legal business name
DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION
Practice address
25285 Madison Ave
Suite 108
Murrieta, CA 92562-8981
Phone
(951) 600-8198
Fax
(951) 698-4932
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dae Sup Lee, D.C.NPI 1831425495
Title
Owner
Phone
(951) 600-8198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27623 CA Primary

Addresses

Primary practice location

25285 Madison Ave
Suite 108
Murrieta, CA 92562-8981

Mailing address

25285 Madison Ave
Suite 108
Murrieta, CA 92562-8981
Phone (951) 600-8198

Other names 1

  • Hoyt Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623000019 CA Part B Supplier - Clinic/Group Practice 2668783366 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25285 Madison Ave
Ste 108
Murrieta, CA 92562
Phone (951) 600-8198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1124405444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25285 MADISON AVE",
            "address_2": "SUITE 108",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628981",
            "telephone_number": "951-600-8198",
            "fax_number": "951-698-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25285 MADISON AVE",
            "address_2": "SUITE 108",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628981",
            "telephone_number": "951-600-8198",
            "fax_number": "951-698-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAE",
        "authorized_official_middle_name": "SUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-600-8198",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoyt Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.