Active NPI
Brendan Lee DCPC
- Chiropractor
- Portland, ME
National Provider Identifier
1922428895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR2164
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.