Organization Active NPI

Brendan Lee DCPC

  • Chiropractor
  • Portland, ME
National Provider Identifier
1922428895
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2164 Issued in ME
Legal business name
BRENDAN LEE DCPC
Practice address
980 Forest Ave
Suite 102
Portland, ME 04103-3388
Phone
(312) 909-5825
Fax
(877) 575-6373
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Brendan Lee, DC
Title
Chiropractor
Phone
(312) 909-5825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR2164 ME Primary

Addresses

Primary practice location

980 Forest Ave
Suite 102
Portland, ME 04103-3388

Mailing address

288 State St
Apt. 10
Portland, ME 04101-2347

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1922428895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 STATE ST",
            "address_2": "APT. 10",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 FOREST AVE",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033388",
            "telephone_number": "312-909-5825",
            "fax_number": "877-575-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDAN LEE DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "312-909-5825",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.