Active NPI
Jongmin Lee, D.C
- Chiropractor
- Federal Way, WA
National Provider Identifier
1629375647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60206378
- Practice address
- 33915 1St Way S Ste 106
Federal Way, WA 98003-6396 - Phone
- (253) 237-3019
- Fax
- (253) 343-9009
- NPI assigned
- Feb 28, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60206378 | WA | Primary |
Addresses
Primary practice location
33915 1St Way S Ste 106
Federal Way, WA 98003-6396
Mailing address
33915 1St Way S Ste 106
Federal Way, WA 98003-6396
Phone (253) 343-9009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60206378 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1629375647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33915 1ST WAY S STE 106",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036396",
"telephone_number": "253-343-9009",
"fax_number": "253-343-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33915 1ST WAY S STE 106",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036396",
"telephone_number": "253-237-3019",
"fax_number": "253-343-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONGMIN",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2023-11-15",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60206378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.