Kang Min Lee, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS037618 Issued in PA

Practice address

18 S Roland St
Pottstown, PA 19464-5836

Phone

(610) 327-4646

NPI assigned

Feb 9, 2009

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

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.

Opted out of Medicare

Yes, effective Apr 27, 2016 through Apr 27, 2028

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.

• Kang M Lee DMD LLC

  • Dental Clinic/Center
  • Pottstown, PA
  • NPI 1144642554
  NPD (past) Authorized official
• Endodontics & Endodontic Surgery, P.C.

  • Endodontics
  • Pottstown, PA
  • NPI 1750300976
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1255570677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S ROLAND ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S ROLAND ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645836",
            "telephone_number": "610-327-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KANG",
        "middle_name": "MIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lebo
• Ashley Lederach
• Emma Jean Ledwith
• Ellissa Kate Lee I
• Jae Yong Lee
• Lawrence M Lee, M.D.
• Rebekah Lee
• Salinda Lee
• John E Leech Jr., MD
• Jennifer Lefebvre

• Endodontics in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.