Hyo Rae Lee, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401410574 Issued in VA

Practice address

2 Cardinal Dr
Suite 106a
Leesburg, VA 20175-4448

Phone

(703) 779-7900

Fax

(703) 779-7903

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Vivian Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Loudoun Endodontics, PLLC

  • Endodontics
  • Leesburg, VA
  • NPI 1588303556
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255432019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE",
            "address_2": "SUITE 106A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-779-7900",
            "fax_number": "703-779-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL DR",
            "address_2": "SUITE 106A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-779-7900",
            "fax_number": "703-779-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYO",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401410574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine J Lebeda, LCSW
• Cindy K. Lee, MD
• David Jaeyoon Lee, M.D.
• Donald Joungtae Lee, D.O.
• Hana Lee, NURSE PRACTITIONER
• Jae In Lee, M.D.
• Joseph Yim Lee, MD
• Leonardo Eun Lee, D.M.D
• Lucy S Lee, O.D
• Peter Sae Lee, DDS

• Endodontics in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.