Sung Kyu Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61684 Issued in CA

Practice address

2125 S Brea Canyon Rd
Diamond Bar, CA 91765-4019

Phone

(909) 861-8996

Fax

(909) 861-8993

NPI assigned

Feb 9, 2016

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sung Kyu Lee DDS Inc

  • Dentist
  • Diamond Bar, CA
  • NPI 1043764293
  Authorized official Same address or phone

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1316305048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "909-861-8996",
            "fax_number": "909-861-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "909-861-8996",
            "fax_number": "909-861-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNG KYU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Weitai Lee, DDS
• Karen Hui-Ju Lee, DDS
• Megan Nicole Lee, OTR/L
• Steven K Lee, D.C.
• Sue Yun Lee, D.D.S.
• Wunghee Christina Lee, DPT
• Leila K. Jabaji, M.D
• Justin Leiter-McBeth, PHD
• CHI Lok Leung, PHARMD
• Dennis Lew, RPH

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, 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 Mar 2, 2017; 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.