Simon Kyejoo Lee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28393 Issued in CA

Practice address

730 E El Camino Real
Suite B
Sunnyvale, CA 94087-2970

Phone

(408) 245-6898

Fax

(408) 245-6998

NPI assigned

Nov 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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Simon K Lee DC Chiropractic Professional Corporation

  • Chiropractor
  • Sunnyvale, CA
  • NPI 1578741302
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285708065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872970",
            "telephone_number": "408-245-6898",
            "fax_number": "408-245-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872970",
            "telephone_number": "408-245-6898",
            "fax_number": "408-245-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIMON",
        "middle_name": "KYEJOO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0283930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Wen-CHI Lee
• Peter Kin Lee, D.D.S.
• Ping Ping Lee, L.AC
• Richard C Lee, DDS
• Rosanna Lee, PHARMD
• Spencer Alan Lee, OD
• Stephen T Lee, DPT
• Su-May Lee, MD
• Wade W Lee, D.D.S.
• Wing CHI Wong Lee, PHARM.D.

• Chiropractor in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.