Active NPI
Jibok Lee, D.C.
- Chiropractor
- Chehalis, WA
National Provider Identifier
1043696297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60576300
- Practice address
- 2530 NE Kresky Ave
Ste a
Chehalis, WA 98532-2406 - Phone
- (360) 996-4800
- NPI assigned
- Aug 10, 2015
- 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 | CH60576300 | WA | Primary |
Addresses
Primary practice location
2530 NE Kresky Ave
Ste a
Chehalis, WA 98532-2406
Mailing address
2530 NE Kresky Ave
Ste a
Chehalis, WA 98532-2406
Phone (360) 996-4800
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1043696297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 NE KRESKY AVE",
"address_2": "STE A",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322406",
"telephone_number": "360-996-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 NE KRESKY AVE",
"address_2": "STE A",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322406",
"telephone_number": "360-996-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIBOK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60576300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.