Jonathan Andrew Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

229315 Issued in AK

Practice address

1001 E Bogard Rd # 1
Wasilla, AK 99654-7114

Phone

(907) 376-2225

NPI assigned

Jan 17, 2025

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

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larson Chiropractic, LLCGroup PAC ID 7810161858, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Larson Chiropractic, LLC

  • Sports Physician Chiropractor
  • Wasilla, AK
  • NPI 1801176672
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1346051364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD # 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-376-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD # 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-376-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "229315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie E Lebarre, LCSW
• Autumn Lucille Leblanc
• Garth W Lecheminant, M.D.
• Scottie Su Leclaire, PHARMD
• Fred Ledbetter, LPC
• Kathryn J Lee
• Kendra Lorraine Lee, NP
• Steven Lee, D.P.T.
• Adia Wachiwi Legay
• Nicole Marie Lehar, RDH

• Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.