Individual provider Active NPI

Jared Thomas Lee, D.C.

  • Chiropractor
  • Sulphur, LA
National Provider Identifier
1316172133
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1512 Issued in LA
Practice address
2500 Maplewood Dr
Suite 3
Sulphur, LA 70663-6100
Phone
(337) 912-4901
NPI assigned
May 22, 2009
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1512 LA Primary

Addresses

Primary practice location

2500 Maplewood Dr
Suite 3
Sulphur, LA 70663-6100

Mailing address

2732 Maplewood Dr
Sulphur, LA 70663-6110
Phone (337) 625-6711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000006 LA Practitioner - Chiropractic 0547315673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2732 Maplewood Dr
Sulphur, LA 70663-6110
Phone (337) 625-6711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1512LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Chiropractic LLC Chiropractor CurrentSince Aug 18, 2009 Accepting new patients

Locations

2500 Maplewood Dr
Ste 3
Sulphur, LA 70663
Phone (337) 625-6711

2732 Maplewood Dr
Sulphur, LA 70663
Phone (337) 625-6711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1316172133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636110",
            "telephone_number": "337-625-6711",
            "fax_number": "337-625-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAPLEWOOD DR",
            "address_2": "SUITE 3",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636100",
            "telephone_number": "337-912-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JARED",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.