Seungjin Lee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2267 Issued in NM

Practice address

1920 Westside Blvd. Ste. a
Rio Rancho, NM 87124

Phone

(505) 922-9444

Fax

(505) 922-9150

NPI assigned

Aug 27, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gonstead Family Chiropractic of Abq - Westside, IncGroup PAC ID 3173679040, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gonstead Family Chiropractic of Abq - Westside, Inc

  • Chiropractor
  • Albuquerque, NM
  • NPI 1205988060
  Medicare reassignment Care Compare group NPD
• Gonstead Family Chiropractic of Albuquerque, P.C.

  • Chiropractor
  • Albuquerque, NM
  • NPI 1669525168
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1932876877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WESTSIDE BLVD. STE. A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-922-9444",
            "fax_number": "505-922-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WESTSIDE BLVD. STE. A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-922-9444",
            "fax_number": "505-922-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNGJIN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin A Learn, BMS
• Lindsay Marie Leblanc, MD
• Marcus Leblanc, BMS
• Brenda Kay Lee, MS, LPCC
• Emily Lee
• Steele Leftwich, PT
• Kelsey Carson Leibenhaut, DNP
• Breelynn Leik
• Annie Lenetsky, LCSW
• Steve A Lenores

• Chiropractor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.