Bup K. Lee, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 17289 Issued in CA

Practice address

3090 S Jamaica CT # 308
Aurora, CO 80014-2658

Phone

(303) 210-5717

NPI assigned

Oct 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Circle Mindbody Acupuncture LLC

  • Acupuncturist
  • Aurora, CO
  • NPI 1841991312
  NPD Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1306396221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 S JAMAICA CT STE 308",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142628",
            "telephone_number": "303-210-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 S JAMAICA CT # 308",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142658",
            "telephone_number": "303-210-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BUP",
        "middle_name": "K.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002476",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC17289",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Colleen Johnson Lee, MD
• Andy W. Lee, DDS
• Barbara Lee, LAC
• Bennett Lee, M.D.
• Brittany Lee
• Calvin Lee, M.A.
• Caroline Lee
• Chelsea Elisabeth Lee, MD
• Chere Taynae Lee
• Christina J. Lee, D.D.S.

• All providers in Aurora, CO
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.