Jong Hoon Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9160 Issued in NC

Practice address

2617 S Horner Blvd
Sanford, NC 27332-8032

Phone

(919) 774-1993

Fax

(919) 774-0580

NPI assigned

Jun 17, 2011

Last updated

Jun 17, 2011By 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

• Jonghoon Lee Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Lane & Associates XV DDS PA

  dba Sanford Dental Care

  • General Practice Dentistry
  • Sanford, NC
  • NPI 1902950769
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1477848430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND RD",
            "address_2": "SUITE 203",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298353",
            "telephone_number": "919-863-9763",
            "fax_number": "919-863-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328032",
            "telephone_number": "919-774-1993",
            "fax_number": "919-774-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONG",
        "middle_name": "HOON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONGHOON",
            "last_name": "LEE",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lee County Group Homes, Inc.
• Lee County Industries, Inc.
• Lee County Schools
• Lee H Johnston Inc. (Medicine Park Pharmacy)
• Hannah Michelle Lee
• Matthew Lee, BS
• Rhonda Antointte Lee
• Shirley-Ann Renee Lee, ATC
• Legacy Health Care
• Legacy Professional Services

• General Practice Dentistry in Sanford, NC
• Providers in Sanford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.