Chanyoung Lee

Primary specialty

DentistTaxonomy code 122300000X

License

104375 Issued in CA

Practice address

265 16TH St
Richmond, CA 94801-3214

Phone

(510) 233-6515

NPI assigned

Feb 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Chester T. Low, DDS, Inc.

  • Dental Clinic/Center
  • Richmond, CA
  • NPI 1730257098
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1083248348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JEFFERSON PARK AVE APT 904",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 16TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013214",
            "telephone_number": "510-233-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHANYOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cianna Leatherwood, MD
• Karen Lebeau-Montalvan
• John Watson Paul Leblanc, NP
• Alejandra Roxana Ledezma
• Brenda Sooyen Lee
• Gregory Wookoun Lee, M.D.
• Hester H Lee, MD
• Kenneth Lee, MD
• Michael Lee, DO
• Michael Kim Lee

• Dentist in Richmond, CA
• Providers in Richmond, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.