Active NPI
Chaesun Lee, DENTIST
- Dentist
- University Place, WA
National Provider Identifier
1144977687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30054
- Practice address
- 3838 Bridgeport Way W
University Place, WA 98466-4416 - Phone
- (253) 212-3430
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61426269 | WA | |
| Dentist | 122300000X | DR61286418 | WA | |
| Dentist | 122300000X | DN30054 | FL | Primary |
Addresses
Primary practice location
3838 Bridgeport Way W
University Place, WA 98466-4416
Mailing address
1959 NE Pacific Street Box 357134
Uw Department of Oral Surgery
Seattle, WA 98195
Other practice location 1
3801 W Lake Mary Blvd Unit 109
Lake Mary, FL 32746-6160
Phone (407) 936-3400
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 |
|---|---|---|---|
| DN30054 | FL | MD | Dentist |
| 61426269 | WA | MD | Dentist |
| DR61286418 | WA | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1144977687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC STREET BOX 357134",
"address_2": "UW DEPARTMENT OF ORAL SURGERY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 BRIDGEPORT WAY W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664416",
"telephone_number": "253-212-3430"
}
],
"practiceLocations": [
{
"address_1": "3801 W Lake Mary Blvd Unit 109",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327466160",
"country_code": "US",
"telephone_number": "407-936-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "CHAESUN",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "61426269",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DR61286418",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.