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Dr. Kyung Jae Lee , DC

Chiropractor β€’ Herndon, VA

Active NPI 1679921233 Individual Practitioner Male Practitioner
Practice location in NPPES

209 Elden St Ste 302
Herndon, VA 201704847

Call 7035209980 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

209 Elden St Ste 302

Herndon, VA 201704847

Telephone 7035209980
Organization at the Same NPPES Address or Phone
Gravity Spine Llc Facility NPI 1265069900

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Potomac Falls, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Herndon and Virginia

30 active clinicians are listed under Chiropractor with a practice address in Herndon, VA (1,566 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Herndon

0% of these 30 clinicians have the CMS telehealth indicator.

23.3% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-24
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES VA 0104557322

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor - Rehabilitation

NUCC Taxonomy Code: 111NR0400X

License # reported to NPPES VA 0104557322

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

46090 Lake Center Plz, Suite 303

Potomac Falls, VA 201655876

Phone: 7034444030

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 24, 2020

Registered at 209 ELDEN ST STE 302, HERNDON, VA 201704847 (Tel: 7035209980)

πŸ“
Updated Business Mailing Address March 24, 2020

Registered at 209 ELDEN ST STE 302, HERNDON, VA 201704847 (Tel: 5714514505)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Chiropractor (license number reported to NPPES: VA 0104557322)

βœ…
NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2016

Registered at 46090 LAKE CENTER PLZ, SUITE 303, POTOMAC FALLS, VA 201655876 (Tel: 7034444030)

πŸ“
Business Mailing Address (Initial Record) May 24, 2016

Registered at 46090 LAKE CENTER PLZ, SUITE 303, POTOMAC FALLS, VA 201655876

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2016

Recorded as KYUNG LEE, D.C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Chiropractor (license number reported to NPPES: VA 0104557322)

🟒
Initial NPI Registration & Enumeration May 24, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679921233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2016
Last Update: March 24, 2020
Sole Proprietor: Yes

Other Chiropractors in Herndon

All Chiropractors in Herndon

Mailing Address

209 Elden St Ste 302

Herndon, VA 201704847

Phone: 5714514505

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.