Active NPI
Matthew Youngjoon Lee, DDS
- Dentist
- Denver, CO
National Provider Identifier
1083345227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 205215
- Practice address
- 9250 E Hampden Ave
Denver, CO 80231-5413 - Phone
- (303) 930-8888
- NPI assigned
- Jun 20, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 205215 | CO | Primary |
Addresses
Primary practice location
9250 E Hampden Ave
Denver, CO 80231-5413
Mailing address
11019 E 25TH Dr
Aurora, CO 80010-1216
Phone (720) 375-1456
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 |
|---|---|---|---|
| 205215 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampden Dentistry & Orthodontics | Dentist | Current | Accepting new patients |
Locations
9250 E Hampden Ave
Denver, CO 80231
Phone (303) 254-8828
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.
-
- Dentist
- Denver, CO
- NPI 1023240975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1083345227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11019 E 25TH DR",
"city": "AURORA",
"state": "CO",
"postal_code": "800101216",
"telephone_number": "720-375-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 E HAMPDEN AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802315413",
"telephone_number": "303-930-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"middle_name": "YOUNGJOON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "205215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.