Kwang Bok Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000684A Issued in IN

Practice address

1217 S Jefferson St
Suite a
Huntington, IN 46750-3886

Phone

(260) 356-8444

Fax

(260) 356-8444

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Benjamin J Herman DC Inc

  • Chiropractor
  • Huntington, IN
  • NPI 1568611242
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275697963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467500711",
            "telephone_number": "260-356-8444",
            "fax_number": "260-356-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S JEFFERSON ST",
            "address_2": "SUITE A",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467503886",
            "telephone_number": "260-356-8444",
            "fax_number": "260-356-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KWANG",
        "middle_name": "BOK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000684A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000084613",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frances Lightfoot, FNP

• Chiropractor in Huntington, IN
• Providers in Huntington, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.