Active NPI
Chang Hyun Lee, DMD
- General Practice Dentistry
- Pilot Point, TX
National Provider Identifier
1164051264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38327
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 107400 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rene E Scott DDS PC | Past | Accepting new patients | |
| Pilot Point Dentistry, PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Pilot Point, TX
- NPI 1831542653
General Practice
-
- Dental Clinic/Center
- Pilot Point, TX
- NPI 1710329420
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.