Active NPI
Doyub Lee, DDS
- General Practice Dentistry
- Forest Hills, NY
National Provider Identifier
1326524877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059783
- Practice address
- 11203 Queens Blvd Ste 211
Forest Hills, NY 11375-5550 - Phone
- (718) 268-8228
- NPI assigned
- Jul 18, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059783 | NY | Primary |
Addresses
Primary practice location
11203 Queens Blvd Ste 211
Forest Hills, NY 11375-5550
Mailing address
42-12 28TH St
Apt #41G
Long Island City, NY 11101
Phone (917) 502-6021
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 |
|---|---|---|---|
| 059783 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1326524877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42-12 28TH ST",
"address_2": "APT #41G",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "917-502-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11203 QUEENS BLVD STE 211",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755550",
"telephone_number": "718-268-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DOYUB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.