Robert Chulsung Lee, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE60660201 Issued in WA

Practice address

4305 76TH St NE
Marysville, WA 98270

Phone

(360) 653-4114

NPI assigned

Aug 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee Chim PLLC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sammamish, WA
  • NPI 1073462263
  NPD Authorized official
• Robert C Lee DDS PHD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marysville, WA
  • NPI 1194283903
  NPD (past) Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1497188247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703749",
            "telephone_number": "360-653-4114",
            "fax_number": "360-658-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "middle_name": "CHULSUNG",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62802",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60660201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pateena Lawson
• Judy Thi Le-Robb, NP
• Suzanne Leboeuf, CDPT
• Adrian Lee
• Ashley Lee, DO
• Sang Min Lee, PHARMACIST
• Youn Seo Lee, DDS
• Areli Lemus
• Ethel Mae Lewis, PHARMACY TECHNICIAN
• Kate Li, PHARMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.