Active NPI
Chang-Jui Lee, D.C
- Chiropractor
- Renton, WA
National Provider Identifier
1669431458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034749
- Practice address
- 106 Lake Ave South
Renton, WA 98057 - Phone
- (425) 235-9901
- Fax
- (425) 235-1132
- NPI assigned
- Mar 21, 2006
- Last updated
- Dec 12, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | ||
| Chiropractor | 111N00000X | CH00034749 | WA | Primary |
Addresses
Primary practice location
106 Lake Ave South
Renton, WA 98057
Mailing address
PO Box 3334
West Somerset, KY 42564-3334
Phone (425) 235-9901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08132084 | Other | IL | BCBSIL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper & Cooper, PSC | Chiropractor | Past | Accepting new patients |
| Cooper & Cooper, P.S.C. | Chiropractor | Past | Accepting new patients |
| Healing Hands Wellness Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Moline, IL
- NPI 1740257898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1669431458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3334",
"city": "WEST SOMERSET",
"state": "KY",
"postal_code": "425643334",
"telephone_number": "425-235-9901",
"fax_number": "425-235-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LAKE AVE SOUTH",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-235-9901",
"fax_number": "425-235-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHANG-JUI",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "08132084",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.