Active NPI
Sun Myoung Lee
- Dentist
- Philadelphia, PA
National Provider Identifier
1235682717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040818
- Practice address
- 2000 Market St
Bsa2
Philadelphia, PA 19103-3231 - Phone
- (215) 564-9010
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- 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 | DS040818 | PA | Primary |
Addresses
Primary practice location
2000 Market St
Bsa2
Philadelphia, PA 19103-3231
Mailing address
1919 Market St
Unit 1114
Philadelphia, PA 19103-1491
Phone (201) 661-3706
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 |
|---|---|---|---|
| DS040818 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1235682717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 MARKET ST",
"address_2": "UNIT 1114",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031491",
"telephone_number": "201-661-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MARKET ST",
"address_2": "BSA2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191033231",
"telephone_number": "215-564-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUN MYOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.