Individual provider Active NPI

Dongwook Lee, D.C

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1831630524
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009172 Issued in GA
Practice address
686 Peachtree Industrial Blvd
Ste 210
Suwanee, GA 30024-3043
Phone
(678) 765-8073
Fax
(678) 765-8074
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009172 GA Primary

Addresses

Primary practice location

686 Peachtree Industrial Blvd
Ste 210
Suwanee, GA 30024-3043

Mailing address

686 Peachtree Industrial Blvd
Ste 210
Suwanee, GA 30024-3043
Phone (678) 765-8073

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suwanee Happy Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1831630524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 210",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243043",
            "telephone_number": "678-765-8073",
            "fax_number": "678-765-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 210",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243043",
            "telephone_number": "678-765-8073",
            "fax_number": "678-765-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONGWOOK",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.