Kyubin Lee

Primary specialty

DentistTaxonomy code 122300000X

License

D12197 Issued in OR

Practice address

5885 Shoreview LN N
Keizer, OR 97303-3866

Phone

(503) 455-4156

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Irene Lee Other name

Medicare fee-for-service enrollment

Enrolled in OR

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

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1396546461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SHOREVIEW LN N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033866",
            "telephone_number": "503-455-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SHOREVIEW LN N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033866",
            "telephone_number": "503-455-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYUBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lebaron Dentistry, LLC
• Trenton K Lebaron, DMD
• Cody Allen Leder, DC
• Andrew Y Lee
• Jennifer Louise Lee, NP
• Carolyn Anne Leggett, RN
• Nathaniel Lemke, LMT
• Breana Leong
• Meaghan M. Lewis, PHD
• Xiaoyue Li, M.D.

• Dentist in Keizer, OR
• Providers in Keizer, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.