Active NPI
Chang Yeol Lee, DC DACRB CSCS FIAMA
- Chiropractor
- Richardson, TX
National Provider Identifier
1811186687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC7994
- Practice address
- 445 Walnut St Ste 139
Richardson, TX 75081-5584 - Phone
- (972) 907-8500
- Fax
- (972) 907-8502
- NPI assigned
- Oct 17, 2007
- Last updated
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 | DC7994 | TX | Primary |
Addresses
Primary practice location
445 Walnut St Ste 139
Richardson, TX 75081-5584
Mailing address
445 Walnut St Ste 139
Richardson, TX 75081-5584
Phone (972) 907-8500
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC7994 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1811186687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 WALNUT ST STE 139",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815584",
"telephone_number": "972-907-8500",
"fax_number": "972-907-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WALNUT ST STE 139",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815584",
"telephone_number": "972-907-8500",
"fax_number": "972-907-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHANG",
"middle_name": "YEOL",
"name_prefix": "Dr.",
"credential": "DC DACRB CSCS FIAMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC7994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.