Individual provider Active NPI

Chee Laura Ly, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1316410939
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6540 Issued in MN
Practice address
911 Maryland Ave E # F3
Saint Paul, MN 55106-2647
Phone
(651) 352-2184
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6540 MN Primary

Addresses

Primary practice location

911 Maryland Ave E # F3
Saint Paul, MN 55106-2647

Mailing address

911 Maryland Ave E # F3
Saint Paul, MN 55106-2647
Phone (651) 352-2184

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6540MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Health Essential L.L.C. CurrentSince Sep 15, 2019 Accepting new patients

Locations

911 Maryland Ave E
#F3
Saint Paul, MN 55106
Phone (651) 352-2184

911 Maryland Ave E
Ste F3
Saint Paul, MN 55106

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1316410939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MARYLAND AVE E # F3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062647",
            "telephone_number": "651-352-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MARYLAND AVE E # F3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062647",
            "telephone_number": "651-352-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "CHEE",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.