Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679921233 Individual Practitioner Male Practitioner

Dr. Kyung Jae Lee , DC

Chiropractor • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kyung Lee, DC is a registered healthcare professional specializing in Chiropractor in Herndon, VA. Practice services are available at 209 ELDEN ST STE 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

209 Elden St Ste 302

Herndon, VA 201704847

Telephone 7035209980
Associated Practice Facility / Clinic
🏢 Gravity Spine Llc Facility NPI 1265069900

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Herndon, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-24
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License 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

State License 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.

Secondary Practice Locations

46090 Lake Center Plz, Suite 303

Potomac Falls, VA 201655876

Phone: 7034444030

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 24, 2020

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

📍
Updated Business Mailing Address March 24, 2020

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

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

Chiropractor (License #0104557322 in VA)

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2016

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

📍
Updated Business Mailing Address May 24, 2016

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

👤
Provider Name / Credentials Updated May 24, 2016

Recorded as KYUNG LEE, D.C

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

Chiropractor (License #0104557322 in VA)

🟢
Initial NPI Registration & Enumeration May 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

209 Elden St Ste 302

Herndon, VA 201704847

Phone: 5714514505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.