Individual provider Active NPI

Angela Lee Chen, LAC

  • Acupuncturist
  • Myrtle Beach, SC
National Provider Identifier
1497293310
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACUP285 Issued in SC
Practice address
607 Briarwood Dr Ste 4
Myrtle Beach, SC 29572-6733
Phone
(843) 655-4629
NPI assigned
Feb 11, 2017
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACUP285 SC Primary
Acupuncturist 171100000X 1141 NY

Addresses

Primary practice location

607 Briarwood Dr Ste 4
Myrtle Beach, SC 29572-6733

Mailing address

607 Briarwood Dr Ste 4
Myrtle Beach, SC 29572-6733
Phone (843) 655-4629

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
1141NYMDAcupuncturist
ACUP285SCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1497293310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BRIARWOOD DR STE 4",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726733",
            "telephone_number": "843-655-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BRIARWOOD DR STE 4",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726733",
            "telephone_number": "843-655-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE CHEN",
        "first_name": "ANGELA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "ACUP285",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.