Individual provider Active NPI

Youjin Lee, DMD

  • General Practice Dentistry
  • Elizabethtown, KY
National Provider Identifier
1235581570
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9817 Issued in KY
Practice address
201 Towne Dr
Elizabethtown, KY 42701-8466
Phone
(270) 872-4632
NPI assigned
Jul 11, 2016
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9817 KY Primary

Addresses

Primary practice location

201 Towne Dr
Elizabethtown, KY 42701-8466

Mailing address

7819 Royalty Ave Apt F
Louisville, KY 40222-4243
Phone (856) 217-8468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219002013 PA Practitioner - Dentist 5294169520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9817KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Silvana Cumani DMD and Associates PC General Practice CurrentSince Jan 1, 2020 Accepting new patients

Locations

2200 Montrose St
Philadelphia, PA 19146
Phone (215) 545-4395

2675 E Cumberland St
Philadelphia, PA 19125
Phone (215) 426-7307

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1235581570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 ROYALTY AVE APT F",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224243",
            "telephone_number": "856-217-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOWNE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018466",
            "telephone_number": "270-872-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUJIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.