Individual provider Active NPI

Christina Lee, DC

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1366752362
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03680 Issued in MD
Practice address
11402 Sherrie LN
Silver Spring, MD 20902-2664
Phone
(240) 460-4566
NPI assigned
Oct 9, 2010
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03680 MD Primary

Addresses

Primary practice location

11402 Sherrie LN
Silver Spring, MD 20902-2664

Mailing address

11402 Sherrie LN
Silver Spring, MD 20902-2664
Phone (240) 460-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130213000358 DC Practitioner - Chiropractic 9638323959 Reassigns benefits to 1 organization
I20190722000414 MD Practitioner - Chiropractic 9638323959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15904 Luanne Dr
Gaithersburg, MD 20877-1408
Phone (443) 542-0369

7050 Oakland Mills Rd
Suite 130
Columbia, MD 21046-2269
Phone (443) 542-0369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Physical Therapy & Wellness CurrentSince Jul 1, 2020 Accepting new patients
Integrative Chiropractic & Rehabilitation CurrentSince Mar 12, 2019 Accepting new patients
Allcare Chiropractic,LLC Chiropractor CurrentSince Feb 1, 2013 Accepting new patients

Locations

7050 Oakland Mills Rd
Ste 130
Columbia, MD 21046
Phone (240) 460-4566

15904 Luanne Dr
Gaithersburg, MD 20877
Phone (240) 812-9699

525 Main St
Ste 105
Laurel, MD 20707
Phone (301) 725-6884

595 Main St
Ste 135
Laurel, MD 20707
Phone (301) 725-6884

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1366752362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 SHERRIE LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022664",
            "telephone_number": "240-460-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 SHERRIE LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022664",
            "telephone_number": "240-460-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-09",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.