Individual provider Active NPI

Sanghyun Je, DMD

  • Dentist
  • Dallas, TX
National Provider Identifier
1114410313
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34237 Issued in TX
Practice address
3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766
Phone
(972) 663-5359
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34237 TX Primary

Addresses

Primary practice location

3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766

Mailing address

4444 Westheimer Rd Apt 548a
Houston, TX 77027-4868
Phone (612) 875-3055

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

LicenseStateTypeSpecialty
34237TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanghyun Je, DMD & Associates, P.C. Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1114410313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WESTHEIMER RD APT 548A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274868",
            "telephone_number": "612-875-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342766",
            "telephone_number": "972-663-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JE",
        "first_name": "SANGHYUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.