Individual provider Active NPI

Jer Lee, CHIROPRACTOR

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1598803157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4423 Issued in MN
Practice address
1132 Arcade St
Saint Paul, MN 55106-2614
Phone
(651) 771-4200
Fax
(651) 771-4204
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4423 MN Primary

Addresses

Primary practice location

1132 Arcade St
Saint Paul, MN 55106-2614

Mailing address

1132 Arcade St
Saint Paul, MN 55106-2614
Phone (651) 771-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130510000525 MN Practitioner - Chiropractic 9234376229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro Health Clinic PAGroup PAC ID 3072750066, 2 clinicians

Practice addresses (Care Compare)

1132 Arcade St
Saint Paul, MN 55106-2614
Phone (651) 771-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4423MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Health Clinic, P.a. Chiropractor Current Accepting new patients
Chiro Health Clinic, P.a. Chiropractor CurrentSince Feb 26, 2013 Accepting new patients

Locations

3300 County Road 10
Ste 220
Brooklyn Park, MN 55429
Phone (612) 520-4040

1132 Arcade St
Saint Paul, MN 55106
Phone (651) 771-4200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598803157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062614",
            "telephone_number": "651-771-4200",
            "fax_number": "651-771-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062614",
            "telephone_number": "651-771-4200",
            "fax_number": "651-771-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JER",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.