Individual provider Active NPI

Chang Hyun Lee, DMD

  • General Practice Dentistry
  • Pilot Point, TX
National Provider Identifier
1164051264
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38327 Issued in TX
Practice address
1246 S Highway 377 Ste 500
Pilot Point, TX 76258-4378
Phone
(940) 686-2201
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107400 CA
General Practice Dentistry 1223G0001X 38327 TX Primary

Addresses

Primary practice location

1246 S Highway 377 Ste 500
Pilot Point, TX 76258-4378

Mailing address

303 S Glenoaks Blvd
Burbank, CA 91502-1319
Phone (818) 846-2854

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
107400CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rene E Scott DDS PC PastSince Jan 26, 2025 Accepting new patients
Pilot Point Dentistry, PLLC General Practice PastSince Jan 26, 2025 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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1164051264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021319",
            "telephone_number": "818-846-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 S HIGHWAY 377 STE 500",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762584378",
            "telephone_number": "940-686-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHANG HYUN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilot Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.