Individual provider Active NPI

Yun-Chiao Lee, DOM, AP

  • Acupuncturist
  • Maitland, FL
National Provider Identifier
1992084818
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2976 Issued in FL
Practice address
237 Lookout PL
Maitland, FL 32751-8433
Phone
(407) 690-7696
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 14027 CA
Acupuncturist 171100000X AP2976 FL Primary

Addresses

Primary practice location

237 Lookout PL
Maitland, FL 32751-8433

Mailing address

2445 S Volusia Ave Ste C4
Orange City, FL 32763-7626
Phone (407) 690-7696

Other practice location 1

2445 S Volusia Ave Ste C4
Orange City, FL 32763-7626
Phone (407) 690-7696

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

LicenseStateTypeSpecialty
AC 14027CAMDAcupuncturist
AP2976FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Oriental Healthcare, LLC Acupuncturist CurrentSince Sep 13, 2020 Accepting new patients

Locations

237 Lookout Pl
Maitland, FL 32751
Phone (407) 690-7696

2445 S Volusia Ave
Ste C4
Orange City, FL 32763
Phone (386) 774-2085

Organizations & group practices 1

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1992084818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 S VOLUSIA AVE STE C4",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637626",
            "telephone_number": "407-690-7696",
            "fax_number": "407-610-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518433",
            "telephone_number": "407-690-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 S Volusia Ave Ste C4",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637626",
            "country_code": "US",
            "telephone_number": "407-690-7696",
            "fax_number": "407-610-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YUN-CHIAO",
        "credential": "DOM, AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14027",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.