Organization Active NPI

Dr Jennifer Lees LLC

  • Chiropractor
  • Sudbury, MA
National Provider Identifier
1548684459
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA2025 Issued in MA
Legal business name
DR JENNIFER LEES LLC
Practice address
410 Boston Post Rd
Ste 26
Sudbury, MA 01776-3058
Phone
(978) 443-3248
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Jennifer Lees, DCNPI 1033533906
Title
Owner
Phone
(978) 443-3248

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 MA2025 MA Primary

Addresses

Primary practice location

410 Boston Post Rd
Ste 26
Sudbury, MA 01776-3058

Mailing address

410 Boston Post Rd
Ste 26
Sudbury, MA 01776-3058
Phone (978) 443-3248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206002550 MA Part B Supplier - Clinic/Group Practice 9739303512 Receives reassigned benefits from 1 practitioner
Practice locations: Sudbury, MA

National Provider Directory

National Provider Directory

Locations

410 Boston Post Rd
Ste 26
Sudbury, MA 01776
Phone (978) 443-3248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1548684459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BOSTON POST RD",
            "address_2": "STE 26",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763058",
            "telephone_number": "978-443-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BOSTON POST RD",
            "address_2": "STE 26",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763058",
            "telephone_number": "978-443-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JENNIFER LEES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "LEES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-443-3248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA2025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.