Organization Active NPI

Mark E. Lee,D.C.,P.C.

Doing business as Lee Chiropractic

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1538396338
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARK E. LEE,D.C.,P.C.
Doing business as
Lee Chiropractic
Practice address
4111 E Valley Auto Dr Ste 102
Mesa, AZ 85206-4607
Phone
(480) 644-0644
Fax
(480) 644-0996
NPI assigned
Jun 18, 2009
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Mark E. Lee, DCNPI 1184799595
Title
President
Phone
(480) 644-0644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4111 E Valley Auto Dr Ste 102
Mesa, AZ 85206-4607

Mailing address

4111 E Valley Auto Dr Ste 102
Mesa, AZ 85206-4607
Phone (480) 644-0644

Other names 1

  • Lee Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000118 AZ Part B Supplier - Clinic/Group Practice 3476749219 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

116 N Lindsay Rd
Ste 15
Mesa, AZ 85213
Phone (480) 644-0644

4111 E Valley Auto Dr
Ste 102
Mesa, AZ 85206
Phone (480) 644-0644

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1538396338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064607",
            "telephone_number": "480-644-0644",
            "fax_number": "480-644-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064607",
            "telephone_number": "480-644-0644",
            "fax_number": "480-644-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. LEE,D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-644-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.