Active NPI
Kwangho Caleb Roh, DC
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1497159941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60498261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH60498261 | WA | MD | Chiropractor |
| AC61446291 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Multidisciplinary Health Center | Chiropractor | Current | 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.
-
dba Lynnwood Trinity Clinic
- Chiropractor
- Lynnwood, WA
- NPI 1336714476
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.