Active NPI
Lee Joseph Smith, DC
- Chiropractor
- Dubuque, IA
National Provider Identifier
1790843936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06478
- Practice address
- 2728 Asbury Rd
Ste. 920
Dubuque, IA 52001-2971 - Phone
- (563) 582-5185
- Fax
- (563) 582-3075
- NPI assigned
- Dec 4, 2006
- 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 | 06478 | IA | Primary |
Addresses
Primary practice location
2728 Asbury Rd
Ste. 920
Dubuque, IA 52001-2971
Mailing address
2728 Asbury Rd
Ste. 920
Dubuque, IA 52001-2971
Phone (563) 582-5185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37388 | Other | IA | BLUE CROSS BLUE SHEILD |
| 1254623 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 John F Kennedy Rd
Suite 3
Dubuque, IA 52002-3899
Phone (563) 588-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06478 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lettman Chiropractic Rehab Care | Chiropractor | Current | Accepting new patients |
| Malone Family Chiropractic Clinic P.C. | Chiropractor | Past | Accepting new patients |
| Teresa White Counseling | Past | Accepting new patients |
Locations
2095 John F Kennedy Rd
Ste 3
Dubuque, IA 52002
Phone (563) 588-9200
Organizations & group practices 3
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.
-
- Chiropractor
- Dubuque, IA
- NPI 1811000870
-
- Chiropractor
- Dubuque, IA
- NPI 1023218849
-
- Clinical Social Worker
- Dubuque, IA
- NPI 1356222848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790843936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 ASBURY RD",
"address_2": "STE. 920",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520012971",
"telephone_number": "563-582-5185",
"fax_number": "563-582-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 ASBURY RD",
"address_2": "STE. 920",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520012971",
"telephone_number": "563-582-5185",
"fax_number": "563-582-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "37388",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1254623",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
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.