Active NPI
Hyun Ji Lee
- Dentist
- Anchorage, AK
National Provider Identifier
1396469920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 196850
- Practice address
- 1921 W Dimond Blvd Ste 101
Anchorage, AK 99515-1465 - Phone
- (907) 333-6666
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 196850 | AK | Primary |
Addresses
Primary practice location
1921 W Dimond Blvd Ste 101
Anchorage, AK 99515-1465
Mailing address
1921 W Dimond Blvd Ste 101
Anchorage, AK 99515-1465
Phone (907) 333-6666
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 |
|---|---|---|---|
| 196850 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1396469920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W DIMOND BLVD STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151465",
"telephone_number": "907-333-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W DIMOND BLVD STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151465",
"telephone_number": "907-333-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYUN JI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "196850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.