Luke Byung Chul Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55251 Issued in CA

Practice address

3400 Loma Vista Rd
Suite 11
Ventura, CA 93003-3033

Phone

(805) 639-9205

Fax

(805) 639-9230

NPI assigned

Jan 3, 2007

Last updated

Jun 28, 2010By 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 names 1

• Dr. Byung Chul Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1467509646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD",
            "address_2": "SUITE 11",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033033",
            "telephone_number": "805-639-9205",
            "fax_number": "805-639-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD",
            "address_2": "SUITE 11",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033033",
            "telephone_number": "805-639-9205",
            "fax_number": "805-639-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUKE",
        "middle_name": "BYUNG CHUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BYUNG",
            "last_name": "LEE",
            "middle_name": "CHUL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jungku Lee
• Kee Y. Lee, M.D.
• Kyoyi Lee
• Larrilynn Lee
• Linda J. Lee, MD
• Marcell Lee
• Maya Lee
• Mimi Shishou Lee, M.D.
• Olivia Lee
• Samuel Lee, MD

• General Practice Dentistry in Ventura, CA
• Providers in Ventura, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.