Active NPI
Jong Ho Lee
- Acupuncturist
- Blue Springs, MO
National Provider Identifier
1861803892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2014009517
- Practice address
- 1958 NW Copper Oaks Cir
Blue Springs, MO 64015-8300 - Phone
- (816) 622-8496
- Fax
- (816) 295-1373
- NPI assigned
- May 13, 2014
- Last updated
- Feb 10, 2023
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2014009517 | MO | Primary |
Addresses
Primary practice location
1958 NW Copper Oaks Cir
Blue Springs, MO 64015-8300
Mailing address
1958 NW Copper Oaks Cir
Blue Springs, MO 64015-8300
Phone (816) 622-8496
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014009517 | MO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urdaroma LLC | Acupuncturist | Current | Accepting new patients |
Locations
1958 NW Copper Oaks Cir
Blue Springs, MO 64015
Phone (816) 228-4995
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1861803892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 NW COPPER OAKS CIR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640158300",
"telephone_number": "816-622-8496",
"fax_number": "816-295-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 NW COPPER OAKS CIR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640158300",
"telephone_number": "816-622-8496",
"fax_number": "816-295-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONG HO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MO",
"license": "2014009517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.