Individual provider Active NPI

Michelle Lee Freeze, DC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1740166925
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16556 Issued in TX
Practice address
5520 Old Bullard Rd Ste 114
Tyler, TX 75703-4361
Phone
(903) 309-3820
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16556 TX Primary

Addresses

Primary practice location

5520 Old Bullard Rd Ste 114
Tyler, TX 75703-4361

Mailing address

2309 Camryn LN
Mabank, TX 75147-1339
Phone (903) 309-3820

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

LicenseStateTypeSpecialty
16556TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Lee Freeze Chiropractor CurrentSince Sep 28, 2025 Accepting new patients

Locations

5520 Old Bullard Rd
Ste 114
Tyler, TX 75703
Phone (903) 309-3820

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1740166925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 CAMRYN LN",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751471339",
            "telephone_number": "903-309-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 OLD BULLARD RD STE 114",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034361",
            "telephone_number": "903-309-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEZE",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.