Active NPI
Justin Heon Lee, D.C.
- Chiropractor
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3312
- Practice address
- 5712 E Lake Sammamish Pkwy SE Ste 106
Issaquah, WA 98029-8943 - Phone
- (425) 270-3392
- Fax
- (425) 270-3394
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- 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 | CH3312 | WA | Primary |
Addresses
Primary practice location
5712 E Lake Sammamish Pkwy SE Ste 106
Issaquah, WA 98029-8943
Mailing address
5712 E Lake Sammamish Pkwy SE Ste 106
Issaquah, WA 98029-8943
Phone (425) 270-3392
Other names 1
- Heon Justin Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
27111 167TH PL SE
Suite 109
Covington, WA 98042-7337
4220 A St SE
Suite 103
Auburn, WA 98002-8620
933 SE Symmons PL
North Bend, WA 98045-9377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3312 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akm Enterprises, Inc | Current | Accepting new patients | |
| Myspine, PS | Chiropractor | Current | Accepting new patients |
| Integrated Health PLLC | Past | Accepting new patients | |
| Redmond Spine Center, PLLC | Chiropractor | Past | Accepting new patients |
| Cascades Chiropractic Center Inc. | Chiropractor | Past | Accepting new patients |
Locations
1601 116th Ave NE
Ste 111
Bellevue, WA 98004
Phone (425) 467-1314
1601 116th Ave NE
Ste 101
Bellevue, WA 98004
Phone (425) 467-5625
27111 167th Pl SE
Ste 109
Covington, WA 98042
Phone (253) 639-7639
5712 E Lake Sammamish Pkwy SE
Ste 106
Issaquah, WA 98029
Phone (425) 270-3392
5712 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 270-3392
Organizations & group practices 5
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.
-
- Rehabilitation Chiropractor
- Covington, WA
- NPI 1659593143
-
- Chiropractor
- Issaquah, WA
- NPI 1841455524
-
- Chiropractor
- Dupont, WA
- NPI 1366637233
-
- Neurology Chiropractor
- Redmond, WA
- NPI 1144493636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1982779005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 106",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980298943",
"telephone_number": "425-270-3392",
"fax_number": "425-270-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 106",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980298943",
"telephone_number": "425-270-3392",
"fax_number": "425-270-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUSTIN",
"middle_name": "HEON",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH3312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEON",
"last_name": "LEE",
"middle_name": "JUSTIN",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.