Individual provider Active NPI

Lee Joseph Smith, DC

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1790843936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06478 Issued in IA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
37388OtherIABLUE CROSS BLUE SHEILD
1254623MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000278 IA Practitioner - Chiropractic 8426010562 Reassigns benefits to 1 organization

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
Lettman Chiropractic Rehab CareGroup PAC ID 9638174196, 3 clinicians

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

LicenseStateTypeSpecialty
06478IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lettman Chiropractic Rehab Care Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Malone Family Chiropractic Clinic P.C. Chiropractor PastSince Dec 10, 2000 Accepting new patients
Teresa White Counseling PastSince Aug 1, 2012 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.

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.

Verify at the official NPI Registry.