David Sangjoon Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3518 Issued in NV

Practice address

3050 E Desert Inn Rd Ste 105
Las Vegas, NV 89121-3871

Phone

(702) 241-8206

Fax

(702) 894-4175

NPI assigned

Feb 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Practice roles

Locations

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.

• US Dental Group Inc

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1912163734
  Medicare reassignment NPD Authorized official
• East Lake Mead Dental

  • General Practice Dentistry
  • North Las Vegas, NV
  • NPI 1285890004
  Authorized official Same address or phone
• Tower Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1285880609
  Authorized official Same address or phone
• Tropicana Dental Inc

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1093971814
  Authorized official Same address or phone
• US Dental Washington Inc

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1376709196
  Authorized official Same address or phone
• Vip Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1275798944
  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457495772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213871",
            "telephone_number": "702-241-8206",
            "fax_number": "702-894-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213871",
            "telephone_number": "702-241-8206",
            "fax_number": "702-894-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "SANGJOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202308",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel D Lee, M.D.
• Daniel Harvey Lee, DDS, MPH
• Daniesha Lee
• Dashawn Lee
• Dasum Lee
• David W Lee, D.D.S.
• Lee, Dean and Anghesom, PLLC (Distinctive Smiles)
• Deanna M Lee, MD
• Demetrius Lee
• Derek Lee

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.