Individual provider Active NPI

Kwangho Caleb Roh, DC

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1497159941
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60498261 Issued in WA
Practice address
5611 196TH St SW
Lynnwood, WA 98036-6168
Phone
(425) 588-3838
Fax
(425) 588-3800
NPI assigned
Oct 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61446291 WA
Chiropractor 111N00000X CH60498261 WA Primary

Addresses

Primary practice location

5611 196TH St SW
Lynnwood, WA 98036-6168

Mailing address

5611 196TH St SW
Lynnwood, WA 98036-6168
Phone (425) 588-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH60498261WAMDChiropractor
AC61446291WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Multidisciplinary Health Center Chiropractor CurrentSince Sep 4, 2022 Accepting new patients

Locations

16911 Highway 99
Ste 105
Lynnwood, WA 98037
Phone (425) 588-3838

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1497159941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366168",
            "telephone_number": "425-588-3838",
            "fax_number": "425-588-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366168",
            "telephone_number": "425-588-3838",
            "fax_number": "425-588-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "KWANGHO",
        "middle_name": "CALEB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61446291",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60498261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.