Individual provider Active NPI

Hoyoun Lee, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1174199111
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026525 Issued in OH
Practice address
4360 Ferguson Dr Ste 140
Cincinnati, OH 45245-1683
Phone
(513) 753-6446
NPI assigned
Jun 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026525 OH Primary

Addresses

Primary practice location

4360 Ferguson Dr Ste 140
Cincinnati, OH 45245-1683

Mailing address

705 Commons Dr
Milford, OH 45150-1923
Phone (614) 314-4068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026525OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle One Dental Group CurrentSince Jul 21, 2024 Accepting new patients

Locations

4360 Ferguson Dr
Ste 140
Cincinnati, OH 45245
Phone (513) 753-6446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1174199111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COMMONS DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501923",
            "telephone_number": "614-314-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 FERGUSON DR STE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451683",
            "telephone_number": "513-753-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HOYOUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.