Sang Min Lee, D.C., L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03614 Issued in MD

Practice address

8808 Centre Park Dr
Suite 208
Columbia, MD 21045-2126

Phone

(410) 997-0987

Fax

(410) 715-2280

NPI assigned

Mar 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Motionlife Chiropractic & Acupuncture, LLC

  • Chiropractor
  • Columbia, MD
  • NPI 1740686922
  Medicare reassignment NPD Authorized official
• Grand Home Care LLC

  • Home Health Agency
  • Palisades Park, NJ
  • NPI 1063024743
  NPD (past)
• Now Pain Clinc PC

  • Physical Disabilities Residential Treatment Facility
  • Palisades Park, NJ
  • NPI 1295019529
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1053634832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 CENTRE PARK DR",
            "address_2": "SUITE 208",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452126",
            "telephone_number": "410-997-0987",
            "fax_number": "410-997-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 CENTRE PARK DR",
            "address_2": "SUITE 208",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452126",
            "telephone_number": "410-997-0987",
            "fax_number": "410-715-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02139",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee, M.A., CCC-SLP
• Jessica Lee, PHARMD
• Julia Lee, DPT
• Kang Tzu Lee
• Roger Lee, AU.D.
• Shannon C. Lee
• Soonhee Lee, PH.D., ABPP
• Susan Lee, PH.D.
• Dardlie Lefevre
• Maureen Heather Lefkoff, D.D.S.

• Chiropractor in Columbia, MD
• Providers in Columbia, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.