Seattle Northeast Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SEATTLE NORTHEAST CHIROPRACTIC

Practice address

11734 15TH Ave NE
Seattle, WA 98125-5026

Phone

(206) 364-9501

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Chong Il Lee, D.C.NPI 1922468982

Title

Chiropractor

Phone

(714) 747-6942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chong Il Lee, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1922468982
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1922563782",
    "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": [],
    "basic": {
        "organization_name": "SEATTLE NORTHEAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "IL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "714-747-6942",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.