Active NPI
Sanghun Sean Lee, DMD
- Dentist
- Grand Prairie, TX
National Provider Identifier
1366713026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27287
- Practice address
- 800 S Center St
Grand Prairie, TX 75051-1815 - Phone
- (972) 264-1662
- Fax
- (972) 264-6877
- NPI assigned
- Jan 25, 2012
- Last updated
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 27287 | TX | Primary |
Addresses
Primary practice location
800 S Center St
Grand Prairie, TX 75051-1815
Mailing address
403 Osprey CT
Southlake, TX 76092-5851
Phone (817) 251-0534
Other practice location 1
4920 Teasley Ln Ste 160
Denton, TX 76210-3903
Phone (940) 566-1066
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.leaffamilydental.com |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaf Dentistry LLC | Dentist | Past | Accepting new patients |
| Penn Dental Partners PLLC | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1366713026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 OSPREY CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925851",
"telephone_number": "817-251-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CENTER ST",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511815",
"telephone_number": "972-264-1662",
"fax_number": "972-264-6877"
}
],
"practiceLocations": [
{
"address_1": "4920 Teasley Ln Ste 160",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762103903",
"country_code": "US",
"telephone_number": "940-566-1066",
"fax_number": "940-566-1067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SANGHUN",
"middle_name": "SEAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27287",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.leaffamilydental.com",
"affiliation": "N",
"address_1": "800 S Center St",
"city": "Grand Prairie",
"state": "TX",
"country_code": "US",
"postal_code": "750511815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.