NPIMap

Organization Active NPI

Jong Il Lee DC,PS

Doing business as Yonsei Chiropractic Clinic

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1942539358
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JONG IL LEE DC,PS
Doing business as
Yonsei Chiropractic Clinic
Practice address
16030 Bothell Everett Hwy
Suite 220
Mill Creek, WA 98012-1741
Phone
(425) 582-1022
Fax
(425) 385-2230
NPI assigned
Dec 14, 2009
Last updated
Dec 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Jong Il Lee, D.C.NPI 1710189774
Title
Owner
Phone
(425) 582-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy
Suite 220
Mill Creek, WA 98012-1741

Mailing address

16030 Bothell Everett Hwy
Suite 220
Mill Creek, WA 98012-1741
Phone (425) 582-1022

Other names 1

  • YONSEI CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

16030 Bothell Everett Hwy
Ste 220
Mill Creek, WA 98012
Phone (425) 385-3060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1942539358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 220",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-582-1022",
            "fax_number": "425-385-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 220",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-582-1022",
            "fax_number": "425-385-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG IL LEE DC,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG IL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-582-1022",
        "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": [
        {
            "organization_name": "YONSEI CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.