Individual provider Active NPI

Kou Lee, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1366910267
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4989 Issued in NC
Practice address
2200 Randolph Rd
Charlotte, NC 28207-1126
Phone
(704) 372-9292
NPI assigned
Nov 8, 2018
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4989 NC Primary

Addresses

Primary practice location

2200 Randolph Rd
Charlotte, NC 28207-1126

Mailing address

2200 Randolph Rd
Charlotte, NC 28207-1126
Phone (704) 372-9292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213002366 NC Practitioner - Chiropractic 0446595821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love Chiropractic Center IncGroup PAC ID 5597829325, 7 clinicians
Love Chiropractic Center Salisbury IncGroup PAC ID 5193180750, 4 clinicians

Practice addresses (Care Compare)

215 Branchview Dr NE
Concord, NC 28025-3416
Phone (704) 784-1711

628 W Innes St
Salisbury, NC 28144-4143
Phone (980) 745-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4989NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Chiropractic Center Salisbury Inc Chiropractor CurrentSince Mar 17, 2023 Accepting new patients
Love Chiropractic Center Inc Chiropractor CurrentSince Nov 15, 2018 Accepting new patients
Love Chiropractic Center Harrisburg, Inc. Chiropractor CurrentSince Oct 21, 2019 Accepting new patients

Locations

215 Branchview Dr NE
Concord, NC 28025
Phone (704) 778-4171

175 Sims Pkwy
Harrisburg, NC 28075
Phone (704) 455-1711

628 W Innes St
Salisbury, NC 28144
Phone (980) 745-1711

Organizations & group practices 3

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1366910267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071126",
            "telephone_number": "704-372-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071126",
            "telephone_number": "704-372-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KOU",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.