Active NPI
Joon H Lee, DDS
- General Practice Dentistry
- Cumming, GA
National Provider Identifier
1497704563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11922
- Practice address
- 205 Canton Rd
Cumming, GA 30040-2303 - Phone
- (770) 889-0061
- Fax
- (770) 887-3662
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11922 | GA | Primary |
Addresses
Primary practice location
205 Canton Rd
Cumming, GA 30040-2303
Mailing address
205 Canton Rd
Cumming, GA 30040-2303
Phone (770) 889-0061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282422432A | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children and Teen Dental Group | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Elite Dentistry of Georgia
- General Practice Dentistry
- Cornelia, GA
- NPI 1255139432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1497704563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CANTON RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402303",
"telephone_number": "770-889-0061",
"fax_number": "770-887-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CANTON RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402303",
"telephone_number": "770-889-0061",
"fax_number": "770-887-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "11922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282422432A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.