Active NPI
McKale Yoshiki Lee, L. AC.
- Acupuncturist
- Woodbury, MN
National Provider Identifier
1548936396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1895
- Practice address
- 2110 Eagle Creek LN
Woodbury, MN 55129-3205 - Phone
- (612) 504-6638
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1895 | MN | Primary |
Addresses
Primary practice location
2110 Eagle Creek LN
Woodbury, MN 55129-3205
Mailing address
10641 Greenbrier Rd
Minnetonka, MN 55305-6401
Phone (952) 201-8407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1895 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1548936396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10641 GREENBRIER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553056401",
"telephone_number": "952-201-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 EAGLE CREEK LN",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551293205",
"telephone_number": "612-504-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MCKALE",
"middle_name": "YOSHIKI",
"credential": "L. AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.