Active NPI
Jeffrey Flattery Lee, D.C.
- Chiropractor
- Honolulu, HI
National Provider Identifier
1154533586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 1053
- Practice address
- 1314 S King St Ste 1564
Honolulu, HI 96814-2072 - Phone
- (808) 593-8100
- NPI assigned
- May 6, 2007
- 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 | DC 1053 | HI | Primary |
Addresses
Primary practice location
1314 S King St Ste 1564
Honolulu, HI 96814-2072
Mailing address
1314 S King St Ste 1564
Honolulu, HI 96814-2072
Phone (808) 593-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060116000199 | HI | Practitioner - Chiropractic | 3779507934 | Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 1053 | HI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154533586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S KING ST STE 1564",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142072",
"telephone_number": "808-593-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S KING ST STE 1564",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142072",
"telephone_number": "808-593-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEFFREY",
"middle_name": "FLATTERY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC 1053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.