Lee W Funk, DC, CCEP, AP, DOM

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006567 Issued in FL

Practice address

1511 US Highway 1
Suite 203
Sebastian, FL 32958-1611

Phone

(772) 581-3773

Fax

(772) 581-3746

NPI assigned

Mar 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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.

• Funk Consulting & Promotional Services, Inc.

  dba Integrated Wellness Center

  • Chiropractor
  • Sebastian, FL
  • NPI 1760711246
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1396917738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 203",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-581-3773",
            "fax_number": "772-581-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 203",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-581-3773",
            "fax_number": "772-581-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "LEE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC, CCEP, AP, DOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22945",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Bowlus French, LDO
• Steven James Fujarczyk
• Julia Fuller, APRN
• Functional Motility Therapy LLC
• Funk Consulting & Promotional Services, Inc. (Integrated Wellness Center)
• Benjamin Gaines
• Taryn Noelle Gallo, MD
• Barry Scott Garcia, D.O.
• Michael Christopher Gaughran, MS CCC SLP
• Ralph Bruce Geiger, M.D.

• Chiropractor in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.