DR. GREGORY K LEE (NPI# 1154419950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154419950 |
| Entity Type | Individual |
| Full Name | DR. GREGORY K LEE |
| Credential | D.C. |
| Practice Address |
10721 Main St Ste 1500 Fairfax VA 22030-6910 |
| Mailing Address |
11519 Cavalier Landing Ct Fairfax VA 22030-8560 |
| Practice Telephone | 7033737113 |
| Mailing Telephone | 7034075031 |
| Mailing Fax Number | 7033737595 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556542 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1154419950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162155 | Gregory Dongkyu Lee | Ophthalmology | 990 Sanders Rd Ste 100, Cumming, GA 30041-5960 | 2011-06-23 |
| 1831341304 | Gregory Jay Lee | Counselor | 328 Greentrails Dr S, Chesterfield, MO 63017-2917 | 2008-10-16 |
| 1679763692 | Gregory Tse Lee | Radiology | 170 William Street, Dept. of Radiology, Ny Downtown Hospital, New York, NY 10038 | 2007-07-26 |
| 1912044041 | Gregory Scot Lee | Dentist | 4101 Dublin Blvd, Suite D, Dublin, CA 94568-4592 | 2007-01-30 |
| 1063521326 | Gregory P. Lee | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013 | 2006-08-30 |
| 1043200959 | Gregory J. Lee | Family Medicine | 1070 Copperfield Dr, Georgetown, IN 47122-9076 | 2005-10-24 |
| 1427057520 | Gregory Allen Lee | Chiropractor | 1408 Atlantic Ave, Benson, MN 56215-1126 | 2005-07-20 |
| 1306317698 | Gregory Lee | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2018-12-11 |
| 1063867968 | Gregory Lee | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2016-04-28 |
| 1407210495 | Gregory Michael Lee | Student in an Organized Health Care Education/Training Program | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-04-06 |
| Street Address |
10721 MAIN ST STE 1500 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680079 | Active Family Wellness | Chiropractor | 10721 Main St Ste 1500, Fairfax, VA 22030-6910 | 2020-08-18 |
| 1295397982 | Sangwoo Danny Park | Chiropractor | 10721 Main St Ste 1500, Fairfax, VA 22030-6910 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| 1841858305 | Jerry Cowart IIi | Chiropractor | 8500 Executive Park Ave Ste 300, Fairfax, VA 22031-2228 | 2019-05-30 |
| 1265914246 | Chiropractic Concepts Plc | Chiropractor | 3857 Plaza Dr, Fairfax, VA 22030-2512 | 2018-09-05 |
| 1932681277 | Empower Chiropractic LLC | Chiropractor | 9649 Fairfax Blvd, Fairfax, VA 22031-2321 | 2018-09-04 |
| 1326529843 | Eddie Hyun Kim | Chiropractor | 10340 Democracy Ln Ste 203, Fairfax, VA 22030-2518 | 2018-08-23 |
| 1811408685 | Young Chiropractic and Rehab, LLC | Chiropractor | 10400 Eaton Pl Ste 410, Fairfax, VA 22030-2208 | 2017-10-19 |
| 1417487497 | Robert Tyler Schnitzler | Chiropractor | 3925 Chain Bridge Rd Ste 101, Fairfax, VA 22030-3938 | 2017-06-13 |
| 1548622483 | Robert J Ciprian | Chiropractor | 8550 Arlington Blvd., Suite 325, Fairfax, VA 22031-4647 | 2016-03-21 |
| 1508257890 | Monya Tavakoli | Chiropractor | 9693 Main St Ste C, Fairfax, VA 22031-3771 | 2015-02-09 |
| 1649699109 | Cheon Gyu Park | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030 | 2014-04-14 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on DR. GREGORY K LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.