Individual provider Active NPI

Seunghee L Mun, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Framingham, MA
National Provider Identifier
1356455372
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18131 Issued in MA
Practice address
254 Cochituate Rd
Framingham, MA 01701-4627
Phone
(508) 875-1060
Fax
(508) 875-0620
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DN18131 MA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 18131 MA Primary

Addresses

Primary practice location

254 Cochituate Rd
Framingham, MA 01701-4627

Mailing address

245 Cochituate Road
Framingham, MA 01701
Phone (508) 875-1060

Other identifiers 1

IdentifierTypeStateIssuer
X07438OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Sue S Lee Professional name

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

LicenseStateTypeSpecialty
18131MAMDOrthodontics and Dentofacial Orthopedic Dentist
DN18131MAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Your Smile PC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Beyond Your Smile, PC Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

254 Cochituate Rd
Framingham, MA 01701
Phone (508) 875-1060

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1356455372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 COCHITUATE ROAD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01701",
            "telephone_number": "508-875-1060",
            "fax_number": "508-875-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COCHITUATE RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014627",
            "telephone_number": "508-875-1060",
            "fax_number": "508-875-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUN",
        "first_name": "SEUNGHEE",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "DN18131",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "18131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X07438",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "LEE",
            "middle_name": "S",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.