Individual provider Active NPI

Yongjik Lee, D.C.

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1982898300
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06951 Issued in IA
Practice address
242 N Bluff Blvd
Suite 201
Clinton, IA 52732-7119
Phone
(563) 242-5375
Fax
(563) 242-5264
NPI assigned
Aug 29, 2007
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06951 IA Primary

Addresses

Primary practice location

242 N Bluff Blvd
Suite 201
Clinton, IA 52732-7119

Mailing address

242 N Bluff Blvd
Suite 201
Clinton, IA 52732-7119
Phone (563) 242-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06951IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Back & Neck Care Center Chiropractor Past Accepting new patients
Clinton Back and Neck Care Center, PC Chiropractor Past Accepting new patients
Shipman Chiropractic PC Chiropractor PastSince May 10, 2020 Accepting new patients
Shipman Chiropractic Chiropractor PastSince May 10, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1982898300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N BLUFF BLVD",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327119",
            "telephone_number": "563-242-5375",
            "fax_number": "563-242-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N BLUFF BLVD",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327119",
            "telephone_number": "563-242-5375",
            "fax_number": "563-242-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONGJIK",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.