Active NPI
Dong Hyun Lee
- Dentist
- Orangeburg, NY
National Provider Identifier
1407417512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062022
- Practice address
- 516 Route 303
Orangeburg, NY 10962-1352 - Phone
- (845) 613-4197
- NPI assigned
- Jun 28, 2019
- Last updated
- Mar 11, 2023
- Sex
- Male
- 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 | 062022 | NY | Primary |
Addresses
Primary practice location
516 Route 303
Orangeburg, NY 10962-1352
Mailing address
57 Bank St Apt 1013
White Plains, NY 10606-2057
Phone (646) 321-7043
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 |
|---|---|---|---|
| 062022 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Katherine Handley, DDS, PC | Past | Accepting new patients | |
| Rye Dentistry 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.
-
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- Rye, NY
- NPI 1295978245
-
dba Dental Care of Grandview
- General Practice Dentistry
- Grandview, MO
- NPI 1073933925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678492800000",
"number": "1407417512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BANK ST APT 1013",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106062057",
"telephone_number": "646-321-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 ROUTE 303",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621352",
"telephone_number": "845-613-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DONG HYUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.