Individual provider Active NPI

Marshall T Lee, D.C.

  • Chiropractor
  • San Ramon, CA
National Provider Identifier
1740617638
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32742 Issued in CA
Practice address
2821 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1659
Phone
(925) 838-4222
Fax
(925) 838-5806
NPI assigned
Oct 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32742 CA Primary

Addresses

Primary practice location

2821 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1659

Mailing address

2821 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1659
Phone (925) 838-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331001381 CA Practitioner - Chiropractic 6901037209 Reassigns benefits to 1 organization
Practice locations: San Ramon, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Crow Canyon Rd
San Ramon, CA 94583-1659
Phone (925) 838-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32742CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall T Lee Chiropractic, Inc. Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Lee Chiropractic, Inc. Chiropractor CurrentSince Jan 28, 2025 Accepting new patients

Locations

2821 Crow Canyon Rd
Ste 104
San Ramon, CA 94583
Phone (925) 838-4222

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1740617638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "SUITE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-838-4222",
            "fax_number": "925-838-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "SUITE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-838-4222",
            "fax_number": "925-838-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARSHALL",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.