NPIMap

Organization Active NPI

K & L Chiropractic Inc

Doing business as Rockville Chiropractic & Sports Care

  • Sports Physician Chiropractor
  • Rockville, MD
National Provider Identifier
1306216700
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
S03842 Issued in MD
Legal business name
K & L CHIROPRACTIC INC
Doing business as
Rockville Chiropractic & Sports Care
Practice address
121 Congressional LN Ste 600
Rockville, MD 20852-1562
Phone
(301) 822-4363
Fax
(301) 822-4407
NPI assigned
Sep 29, 2015
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Yongmin Lee, DCNPI 1760726244
Title
President of Clinic
Phone
(301) 822-4363

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X S03842 MD Primary

Addresses

Primary practice location

121 Congressional LN Ste 600
Rockville, MD 20852-1562

Mailing address

121 Congressional LN Ste 600
Rockville, MD 20852-1562
Phone (301) 822-4363

Other names 1

  • Rockville Chiropractic & Sports Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000096 DC Part B Supplier - Clinic/Group Practice 2769786052 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory
Tax ID family
K L Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Congressional Ln
Ste 600
Rockville, MD 20852
Phone (301) 822-4363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1306216700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521562",
            "telephone_number": "301-822-4363",
            "fax_number": "301-822-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521562",
            "telephone_number": "301-822-4363",
            "fax_number": "301-822-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONGMIN",
        "authorized_official_title_or_position": "PRESIDENT OF CLINIC",
        "authorized_official_telephone_number": "301-822-4363",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S03842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockville Chiropractic & Sports Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.