Active NPI
Soojin Lee, DC
- Chiropractor
- North Wales, PA
National Provider Identifier
1912487612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011396
- Practice address
- 109 Bartlett Dr
North Wales, PA 19454-1448 - Phone
- (315) 416-1688
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011396 | PA | Primary |
Addresses
Primary practice location
109 Bartlett Dr
North Wales, PA 19454-1448
Mailing address
109 Bartlett Dr
North Wales, PA 19454-1448
Phone (315) 416-1688
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011396 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doylestown Family Medicine, P.C. | Past | Accepting new patients | |
| Jon G. Gindhart, D.C., P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Doylestown, PA
- NPI 1255351524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1912487612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BARTLETT DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541448",
"telephone_number": "315-416-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BARTLETT DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541448",
"telephone_number": "315-416-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SOOJIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.