Active NPI
Kyesub Lee, L.AC.
- Acupuncturist
- Chandler, AZ
National Provider Identifier
1326107269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0168
- Practice address
- 2015 N Dobson Rd
Suite 14
Chandler, AZ 85224-2245 - Phone
- (480) 857-8911
- Fax
- (480) 857-8920
- NPI assigned
- Dec 6, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0168 | AZ | Primary |
Addresses
Primary practice location
2015 N Dobson Rd
Suite 14
Chandler, AZ 85224-2245
Mailing address
2015 N Dobson Rd
Suite 14
Chandler, AZ 85224-2245
Phone (480) 857-8911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0168 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Acupuncture Clinic PLLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Tempe, AZ
- NPI 1609588268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326107269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 N DOBSON RD",
"address_2": "SUITE 14",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242245",
"telephone_number": "480-857-8911",
"fax_number": "480-857-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 N DOBSON RD",
"address_2": "SUITE 14",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242245",
"telephone_number": "480-857-8911",
"fax_number": "480-857-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYESUB",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.