Active NPI
Lee Roy Hardin, D.C.
- Chiropractor
- Trophy Club, TX
National Provider Identifier
1558649285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11821
- Practice address
- 501 Trophy Lake Dr
322
Trophy Club, TX 76262-5222 - Phone
- (817) 430-0000
- Fax
- (817) 490-5138
- NPI assigned
- Jul 29, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11821 | TX | Primary |
Addresses
Primary practice location
501 Trophy Lake Dr
322
Trophy Club, TX 76262-5222
Mailing address
501 Trophy Lake Dr
322
Trophy Club, TX 76262-5222
Phone (817) 430-0000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11821 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1558649285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 TROPHY LAKE DR",
"address_2": "322",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625222",
"telephone_number": "817-430-0000",
"fax_number": "817-490-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 TROPHY LAKE DR",
"address_2": "322",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625222",
"telephone_number": "817-430-0000",
"fax_number": "817-490-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "LEE",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trophy Club, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.