Lee & Byeoun, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEE & BYEOUN, DDS, INC.

Practice address

35900 Bob Hope Dr Ste 110
Rancho Mirage, CA 92270-1765

Phone

(760) 770-4033

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Hyung Jin Lee, DDSNPI 1669997763

Title

President

Phone

(760) 770-4033

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hyung Jin Lee

  • General Practice Dentistry
  • Rancho Mirage, CA
  • NPI 1669997763

  5890181598

  Same PAC ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyung Jin Lee

  • General Practice Dentistry
  • Rancho Mirage, CA
  • NPI 1669997763
  Medicare reassignment NPD Authorized official
• Un Ji Byeoun, DDS

  • Dentist
  • Redlands, CA
  • NPI 1003709478
  Medicare reassignment NPD
• Chun K Kim, DDS

  • Dentist
  • Rancho Mirage, CA
  • NPI 1710049887
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1073267498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 110",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 110",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701765",
            "telephone_number": "760-770-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & BYEOUN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNG JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-770-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tmjandsleep.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "35900 Bob Hope Dr Ste 110",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922701765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khoi M Le, M.D.
• Tam Thanh Le, D.O.
• Rachel Lebrun, NP
• Allen L Lechtman, M.D.
• Rodney Andre Ledbetter, PA-C
• Brandon S Lee, PHARM. D
• Charles Lee, MD
• Daniel Yao-Cheng Lee, MD
• Deborah Marie Lee, LMFT
• George Oswald Lee, MD

• Dental Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.