Individual provider Active NPI

Hsuch-Ming Lee, D.D.S., M.S.

  • Periodontics
  • Dallas, TX
National Provider Identifier
1033324678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
18797 Issued in TX
Practice address
17752 Preston Rd
Suite 100
Dallas, TX 75252-5699
Phone
(972) 818-8882
Fax
(972) 818-8823
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 18797 TX Primary

Addresses

Primary practice location

17752 Preston Rd
Suite 100
Dallas, TX 75252-5699

Mailing address

17752 Preston Rd
Suite 100
Dallas, TX 75252-5699
Phone (972) 818-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307000489 TX Practitioner - Oral Surgery 0941694087 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Baylor College of Dentistry/Texas a&M University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17752 Preston Rd
Suite 100
Dallas, TX 75252-5794
Phone (972) 818-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18797TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsuch-Ming Lee CurrentSince Jan 1, 2022 Accepting new patients

Locations

17752 Preston Rd
Ste 100
Dallas, TX 75252
Phone (972) 818-8882

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033324678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 PRESTON RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525699",
            "telephone_number": "972-818-8882",
            "fax_number": "972-818-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 PRESTON RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525699",
            "telephone_number": "972-818-8882",
            "fax_number": "972-818-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HSUCH-MING",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "18797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.