Organization Active NPI

Chiro First Wellness Clinic

  • Chiropractor
  • Ambler, PA
National Provider Identifier
1396503108
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO FIRST WELLNESS CLINIC
Practice address
752 N Bethlehem Pike Unit D
Ambler, PA 19002-2650
Phone
(267) 400-5505
NPI assigned
Mar 7, 2024
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Soojin Lee, DCNPI 1912487612
Title
Chiropractor
Phone
(315) 416-1688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

752 N Bethlehem Pike Unit D
Ambler, PA 19002-2650

Mailing address

109 Bartlett Dr
North Wales, PA 19454-1448
Phone (787) 672-5252

Other names 1

  • CHIRO FIRST WELLNESS CLINIC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022003436 PA Part B Supplier - Clinic/Group Practice 2264964733 Receives reassigned benefits from 1 practitioner
Practice locations: Lower Gwynedd, PA

National Provider Directory

National Provider Directory

Locations

752 N Bethlehem Pike
#D
Lower Gwynedd, PA 19002
Phone (267) 400-5505

Practitioners & affiliated clinicians

Practitioners 2

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": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1396503108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BARTLETT DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541448",
            "telephone_number": "787-672-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 N BETHLEHEM PIKE UNIT D",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022650",
            "telephone_number": "267-400-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO FIRST WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOOJIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "315-416-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIRO FIRST WELLNESS CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.