Individual provider Active NPI

Yeonjoo Lee-Jones, DC

  • Chiropractor
  • Eagle Point, OR
National Provider Identifier
1124134887
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5836 Issued in OR
Practice address
1296 S Shasta Ave
Eagle Point, OR 97524-8521
Phone
(541) 830-4325
Fax
(541) 826-2620
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1260 NM
Chiropractor 111N00000X 5836 OR Primary

Addresses

Primary practice location

1296 S Shasta Ave
Eagle Point, OR 97524-8521

Mailing address

1296 S Shasta Ave
Eagle Point, OR 97524-8521
Phone (541) 830-4325

Other practice location 1

5310 Homestead Rd NE
bldg 400
Albuquerque, NM 87110-1437
Phone (505) 256-3648

Organizations & group practices 2

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.

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

State licenses

LicenseStateTypeSpecialty
1260NMMDChiropractor
5836ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Integrative Health Center, LLC Chiropractor CurrentSince May 21, 2008 Accepting new patients
Complete Integrative Care, LLC PastSince Sep 15, 2017 Accepting new patients

Locations

5310 Homestead Rd NE
Bldg 4
Albuquerque, NM 87110
Phone (505) 256-3648

5310 Homestead Rd NE
Bldg 400
Albuquerque, NM 87110
Phone (505) 256-3648

8324 Constitution Pl NE
Albuquerque, NM 87110
Phone (505) 256-3648

Interoperability endpoints

  • Direct secure messaging: yeon-joo.lee-jones.1@12515.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124134887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 S SHASTA AVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248521",
            "telephone_number": "541-830-4325",
            "fax_number": "541-826-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 S SHASTA AVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248521",
            "telephone_number": "541-830-4325",
            "fax_number": "541-826-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Homestead Rd NE",
            "address_2": "bldg 400",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101437",
            "country_code": "US",
            "telephone_number": "505-256-3648",
            "fax_number": "505-256-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-JONES",
        "first_name": "YEONJOO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1260",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.