Simon K Lee DC Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 28393 Issued in CA

Legal business name

SIMON K LEE DC CHIROPRACTIC PROFESSIONAL CORPORATION

Doing business as

Wellness Chiropractic Clinic

Practice address

730 E El Camino Real
Suite B
Sunnyvale, CA 94087-2970

Phone

(408) 245-6898

Fax

(408) 245-6998

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Simon Kyejoo Lee, D.C.NPI 1285708065

Title

Director

Phone

(408) 245-6898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness Chiropractic Clinic Doing business as

Locations

Practitioners 1

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.

• Simon Kyejoo Lee, D.C.

  • Chiropractor
  • Sunnyvale, CA
  • NPI 1285708065
  NPD (past) Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1578741302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872970",
            "telephone_number": "408-245-6898",
            "fax_number": "408-245-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872970",
            "telephone_number": "408-245-6898",
            "fax_number": "408-245-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON K LEE DC CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "KYEJOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-245-6898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9918836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silver Creek Physical Therapy Sunnyvale (Silver Creek Physical Theray)
• Silvertran Enterprises L.L.C. (california Medical and Equipment Supply, Inc.)
• Andrei Bogdan Simel, D.M.D.
• Or Simel, DDS, MD
• Suzana Simkovic, MD
• Randall Lawrence Simonin
• Deep Raja Singal, RD
• Priyanka Singh, DDS
• Satinder Romy Singh, DDS
• Saumya Singh, DDS

• Chiropractor in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.