Kwang Myung Simon Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2275 Issued in HI

Practice address

724 Kakala St Unit 1401
Kapolei, HI 96707-4632

Phone

(808) 353-8433

Fax

(808) 638-3374

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kwangmyung.lee.p1@direct.wcchc.nextgenshare.com

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1336125442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 KAKALA ST UNIT 1401",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074632",
            "telephone_number": "808-353-8433",
            "fax_number": "808-638-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 KAKALA ST UNIT 1401",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074632",
            "telephone_number": "808-353-8433",
            "fax_number": "808-638-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KWANG MYUNG",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030250L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orin Pyrce Lave-Kaaukai
• Bradley Kaipoleimanu Lee, M.D.
• Janice Lee, DDS
• Joseph Lee, RPH
• Justin H Lee, DPT
• Meihlani Lee, APRN-RX, FNP-BC
• Michael Lee
• Subin Lee
• Legacy Management Group LLC
• Kevin Lei, DPT

• General Practice Dentistry in Kapolei, HI
• Providers in Kapolei, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.