Individual provider Active NPI

Howard H. Lee, C.PED.,LO

  • Orthotist
  • North Little Rock, AR
National Provider Identifier
1467605204
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
OPP00109 Issued in AR
Practice address
2200 Fort Roots Dr
BLDG 89 Room 101
North Little Rock, AR 72114-1709
Phone
(501) 257-1611
Fax
(501) 257-1624
NPI assigned
Oct 24, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X OPP00109 AR Primary

Addresses

Primary practice location

2200 Fort Roots Dr
BLDG 89 Room 101
North Little Rock, AR 72114-1709

Mailing address

3900 Monticello Dr
North Little Rock, AR 72116-6935
Phone (501) 353-1226

Other identifiers 2

IdentifierTypeStateIssuer
OPP00109OtherARARKANSAS STATE BOARD OF HEALTH
C.PED. 0996OtherAMERICAN BOARD OF CERTIFICATION

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
OPP00109ARMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1467605204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 MONTICELLO DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166935",
            "telephone_number": "501-353-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "address_2": "BLDG 89 ROOM 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-1611",
            "fax_number": "501-257-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HOWARD",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "C.PED.,LO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "AR",
            "license": "OPP00109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF HEALTH",
            "identifier": "OPP00109",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF CERTIFICATION",
            "identifier": "C.PED. 0996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.