Active NPI
Kyung E Lee, DDS
- Dentist
- Renton, WA
National Provider Identifier
1063605780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053234
- Practice address
- 350 S 38TH CT Ste 215
Renton, WA 98055-5777 - Phone
- (716) 316-2330
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 053234 | NY | Primary |
Addresses
Primary practice location
350 S 38TH CT Ste 215
Renton, WA 98055-5777
Mailing address
350 S 38TH CT Ste 215
Renton, WA 98055-5777
Phone (716) 316-2330
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053234 | NY | MD | Pharmacist |
Interoperability endpoints
- klee460407@direct.multicare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1063605780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S 38TH CT STE 215",
"city": "RENTON",
"state": "WA",
"postal_code": "980555777",
"telephone_number": "716-316-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 38TH CT STE 215",
"city": "RENTON",
"state": "WA",
"postal_code": "980555777",
"telephone_number": "716-316-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYUNG",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.