Organization Active NPI

Si-Hyeon Lee, DMD, PC

  • Dental Clinic/Center
  • Winchester, VA
National Provider Identifier
1235605403
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SI-HYEON LEE, DMD, PC
Practice address
381 Gateway Dr Ste 9
Winchester, VA 22603-5852
Phone
(540) 773-3206
Fax
(540) 773-3216
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Si-Hyeon Lee, DMD
Title
President
Phone
(703) 939-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

381 Gateway Dr Ste 9
Winchester, VA 22603-5852

Mailing address

21131 Potomac Trail Cir
Ashburn, VA 20148-4371
Phone (703) 939-7234

National Provider Directory

National Provider Directory

Locations

381 Gateway Dr
Ste 9
Winchester, VA 22603
Phone (540) 773-3206

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1235605403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21131 POTOMAC TRAIL CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201484371",
            "telephone_number": "703-939-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 GATEWAY DR STE 9",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226035852",
            "telephone_number": "540-773-3206",
            "fax_number": "540-773-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI-HYEON LEE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SI-HYEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-939-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.