Active NPI
Johnny June Lee, DC
- Rehabilitation Chiropractor
- Philadelphia, PA
National Provider Identifier
1568952992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC011373
- Practice address
- 431 W Chew Ave
Philadelphia, PA 19120-2355 - Phone
- (215) 276-1560
- NPI assigned
- May 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC011373 | PA | Primary |
Addresses
Primary practice location
431 W Chew Ave
Philadelphia, PA 19120-2355
Mailing address
431 W Chew Ave
Philadelphia, PA 19120-2355
Phone (215) 276-1560
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 |
|---|---|---|---|
| DC011373 | PA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1568952992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 W CHEW AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202355",
"telephone_number": "215-276-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W CHEW AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202355",
"telephone_number": "215-276-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHNNY",
"middle_name": "JUNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC011373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.