Yongmin Lee, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557035 Issued in VA

Practice address

10680 Main St Ste 275
Fairfax, VA 22030-3812

Phone

(703) 539-8822

Fax

(703) 539-8862

NPI assigned

Nov 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• K & L Chiropractic Inc

  • Sports Physician Chiropractor
  • Rockville, MD
  • NPI 1306216700

  DC

  Medicare reassignment NPD Authorized official
• K & L Chiropractic Inc

  • Acupuncturist
  • Rockville, MD
  • NPI 1447076856

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1760726244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 POLO DR #232",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "404-944-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST STE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303812",
            "telephone_number": "703-539-8822",
            "fax_number": "703-539-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONGMIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0104557035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sora Lee, DDS
• Soyon Lee, PHARMD
• Susan Anne Lee, DO
• Won Jin Lee, LPC
• Yeji Lee
• Young Jin Lee
• John Leslie Leech
• Legacy Dialysis of Fairfax LLC
• Elizabeth Legg
• Bobbi Ann Lehman, CRNP

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.