Individual provider Active NPI

Soonjae Lee, D.M.D.

  • Dental Anesthesiology
  • Chadds Ford, PA
National Provider Identifier
1336532712
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
G1-0001439 Issued in DE
Practice address
225 Wilmington W Chester Pike Ste 202
Chadds Ford, PA 19317-9011
Phone
(267) 270-5658
NPI assigned
Mar 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DS040281 PA
Dental Anesthesiology 1223D0004X 22DI02659400 NJ
Dental Anesthesiology 1223D0004X G1-0001439 DE Primary

Addresses

Primary practice location

225 Wilmington W Chester Pike Ste 202
Chadds Ford, PA 19317-9011

Mailing address

225 Wilmington W Chester Pike Ste 202
Chadds Ford, PA 19317-9011
Phone (267) 270-5658

Medicare participation

Medicare enrollment files
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, 2019 through Apr 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001439DEMDDentist Anesthesiologist
22DI02659400NJMDDentist Anesthesiologist
DS040281PAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
True Comfort Anesthesia PLLC Dental Anesthesiology Current Accepting new patients

Locations

225 Wilmington W Chester Pike
Ste 202
Chadds Ford, PA 19317
Phone (267) 270-5658

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1336532712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILMINGTON W CHESTER PIKE STE 202",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179011",
            "telephone_number": "267-270-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILMINGTON W CHESTER PIKE STE 202",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179011",
            "telephone_number": "267-270-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOONJAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS040281",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NJ",
            "license": "22DI02659400",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "DE",
            "license": "G1-0001439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.