Individual provider Active NPI

Seung Hun Lee

  • Prosthodontics
  • Aurora, CO
National Provider Identifier
1134218217
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7478 Issued in CO
Practice address
1075 South Peoria Street
Aurora, CO 80012-3263
Phone
(303) 341-4878
Fax
(720) 858-9080
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 7478 CO Primary

Addresses

Primary practice location

1075 South Peoria Street
Aurora, CO 80012-3263

Mailing address

1075 S Peoria St
Aurora, CO 80012-3413
Phone (303) 341-4878

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
7478COMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
1075 S. Peoria LLC Past Accepting new patients
Seung H Lee Dental Group Inc PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1134218217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123413",
            "telephone_number": "303-341-4878",
            "fax_number": "720-858-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SOUTH PEORIA STREET",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "303-341-4878",
            "fax_number": "720-858-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNG",
        "middle_name": "HUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "7478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.