Organization Active NPI

Roger Lee Chiropractic Inc

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1992998850
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26091 Issued in CA
Legal business name
ROGER LEE CHIROPRACTIC INC
Practice address
14795 Jeffrey Rd Ste 103
Irvine, CA 92618-0417
Phone
(949) 857-8883
Fax
(949) 857-0270
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Roger Lee, D.C.NPI 1104923515
Title
President
Phone
(949) 857-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 26091 CA Primary

Addresses

Primary practice location

14795 Jeffrey Rd Ste 103
Irvine, CA 92618-0417

Mailing address

14795 Jeffrey Rd Ste 103
Irvine, CA 92618-0417
Phone (949) 857-8883

Other names 1

  • Champion Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001301 CA Part B Supplier - Clinic/Group Practice 0840273876 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

14795 Jeffrey Rd
Ste 103
Irvine, CA 92618
Phone (714) 369-8496

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1992998850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14795 JEFFREY RD STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180417",
            "telephone_number": "949-857-8883",
            "fax_number": "949-857-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14795 JEFFREY RD STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180417",
            "telephone_number": "949-857-8883",
            "fax_number": "949-857-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER LEE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-857-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.