Active NPI
Lis Chiropractic Corp
- Clinic/Center
- Cupertino, CA
National Provider Identifier
1750806857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LIS CHIROPRACTIC CORP
- Practice address
- 21613 Stevens Creek Blvd
Cupertino, CA 95014-1167 - Phone
- (408) 255-5018
- Fax
- (408) 255-2599
- NPI assigned
- Aug 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ming Li, DC
- Title
- Owner/Doctor
- Phone
- (408) 255-5018
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31741 | CA | |
| Acupuncturist | 171100000X | 16080 | CA | |
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
21613 Stevens Creek Blvd
Cupertino, CA 95014-1167
Mailing address
21613 Stevens Creek Blvd
Cupertino, CA 95014-1167
Phone (408) 255-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1750806857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21613 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141167",
"telephone_number": "408-255-5018",
"fax_number": "699-333-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21613 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141167",
"telephone_number": "408-255-5018",
"fax_number": "408-255-2599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIS CHIROPRACTIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-09",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "MING",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "408-255-5018",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "31741",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "16080",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.