Active NPI
Taeho Lee, D.O.
- Chiropractor
- Grapevine, TX
National Provider Identifier
1639188790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8152
- Practice address
- 821 E. Northwest Hwy
Unite 100
Grapevine, TX 76051-9998 - Phone
- (817) 552-7246
- Fax
- (682) 271-4149
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 8152 | TX | Primary |
Addresses
Primary practice location
821 E. Northwest Hwy
Unite 100
Grapevine, TX 76051-9998
Mailing address
821 E. Northwest Hwy
Unite 100
Grapevine, TX 76051-9998
Phone (817) 552-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202511138 | Other | TX | GROUP ORGANIZATIONS TYPE |
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
- Credentials
- Doctor of Osteopathy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Grapevine, TX
- NPI 1861510935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1639188790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 E. NORTHWEST HWY",
"address_2": "UNITE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760519998",
"telephone_number": "817-552-7246",
"fax_number": "682-271-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E. NORTHWEST HWY",
"address_2": "UNITE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760519998",
"telephone_number": "817-552-7246",
"fax_number": "682-271-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TAEHO",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ORGANIZATIONS TYPE",
"identifier": "202511138",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.