Organization Active NPI

Chirofit LLC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1265904403
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROFIT LLC
Practice address
10700 SW Beaverton Hillsdale Hwy Ste 211
Beaverton, OR 97005-3035
Phone
(973) 975-7138
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Dr. Seung Won Lee, DCNPI 1558868810
Title
Chiropractor
Phone
(973) 975-7138

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 Primary

Addresses

Primary practice location

10700 SW Beaverton Hillsdale Hwy Ste 211
Beaverton, OR 97005-3035

Mailing address

18368 NW Chemeketa LN Apt 634
Portland, OR 97229-3557
Phone (973) 975-7138

Other practice location 1

4100 SW 109th Ave
Beaverton, OR 97005-3029
Phone (503) 641-3444

Other identifiers 1

IdentifierTypeStateIssuer
5874OtherORCHIROPRACTIC

Other names 1

  • ChiroFIT Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190726002696 OR Part B Supplier - Clinic/Group Practice 5092041194 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 211
Beaverton, OR 97005
Phone (503) 430-1380

Practitioners & affiliated clinicians

Practitioners 1

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": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1265904403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18368 NW CHEMEKETA LN APT 634",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293557",
            "telephone_number": "973-975-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 211",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053035",
            "telephone_number": "973-975-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 SW 109th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053029",
            "country_code": "US",
            "telephone_number": "503-641-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEUNG WON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-975-7138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "5874",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroFIT Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.