Chong Il Lee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60757172 Issued in WA

Practice address

11734 15TH Ave NE
Seattle, WA 98125-5026

Phone

(206) 364-9501

NPI assigned

Mar 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Greg Lee Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Seattle Northeast Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1922563782
  Medicare reassignment NPD Authorized official
• Olympic Pain Solutions

  • Nurse Practitioner
  • Mountlake Terrace, WA
  • NPI 1730784497
  NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1922468982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255026",
            "telephone_number": "206-364-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255026",
            "telephone_number": "206-364-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4959 Palo Verde St Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632339",
            "country_code": "US",
            "telephone_number": "909-626-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6603 220th St SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432186",
            "country_code": "US",
            "telephone_number": "425-774-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6603 220th St SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432186",
            "country_code": "US",
            "telephone_number": "425-774-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHONG",
        "middle_name": "IL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33498",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60757172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "33498",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "CH60757172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "LEE",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Terri Lee, M.D.
• Chaejeong Lee
• Charles J Lee, MD
• Chen-Tai Lee, MA
• Chong Chia Lee, MD
• Christa Lee
• Christine Lee
• Christine Lee
• Christine Lee, ARNP
• Christine A Lee, MD

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.