Individual provider Active NPI

Hee Jeong DO, D.C.

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1912237314
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60124301 Issued in WA
Practice address
18904 Highway 99
#K
Lynnwood, WA 98036-5219
Phone
(206) 948-9593
Fax
(206) 458-6092
NPI assigned
Jan 6, 2010
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60124301 WA Primary

Addresses

Primary practice location

18904 Highway 99
#K
Lynnwood, WA 98036-5219

Mailing address

18904 Highway 99
#K
Lynnwood, WA 98036-5219
Phone (206) 948-9593

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

LicenseStateTypeSpecialty
CH60124301WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1912237314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18904 HIGHWAY 99",
            "address_2": "#K",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365219",
            "telephone_number": "206-948-9593",
            "fax_number": "206-458-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18904 HIGHWAY 99",
            "address_2": "#K",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365219",
            "telephone_number": "206-948-9593",
            "fax_number": "206-458-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "HEE JEONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60124301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.