Joshua Hyungkyu Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02447600 Issued in NJ

Practice address

4TH and Inner Loop Road
BLDG 171
Fort Irwin, CA 92310

Phone

(719) 526-5537

NPI assigned

Sep 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1245547520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 COCHRANE CIR # 7495",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-526-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH AND INNER LOOP ROAD",
            "address_2": "BLDG 171",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "719-526-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618th Dental Company USA Dentac Korea",
            "address_2": "Unit # 15652",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96205",
            "country_code": "US",
            "telephone_number": "315-737-2600",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSHUA",
        "middle_name": "HYUNGKYU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02447600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Joann Latimer
• Gregory Edward Le, DMD
• Isabel Moreno Leavitt, R.N.
• Joann Ledoux, CRNA
• Frances Marie Lee
• Stephanie Chung Lee, DDS
• Robert Gene Lehtonen III, CRNA
• Lamar Angelo Leseur, DA
• Steven Leung, DDS
• Alana Mahealani Liba

• General Practice Dentistry in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.