Active NPI
Donghoon Lee
- Dentist
- Soledad, CA
National Provider Identifier
1215232483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59580
- Practice address
- 190 Kidder St
Soledad, CA 93960-3022 - Phone
- (831) 678-2681
- NPI assigned
- Jan 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59580 | CA | Primary |
Addresses
Primary practice location
190 Kidder St
Soledad, CA 93960-3022
Mailing address
801 Brentwood CT
Pacific Grove, CA 93950-5009
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dong Hoon DO Lee, Inc | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Soledad, CA
- NPI 1528309341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1215232483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BRENTWOOD CT",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939505009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 KIDDER ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603022",
"telephone_number": "831-678-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DONGHOON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-20",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.