Active NPI
Su-Chun Yi, D.D.S.
- General Practice Dentistry
- Wake Forest, NC
National Provider Identifier
1497982284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8794
- Practice address
- 3415 Rogers Rd.
Suite 100
Wake Forest, NC 27587 - Phone
- (919) 554-9955
- Fax
- (919) 554-9933
- NPI assigned
- Jun 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8794 | NC | |
| General Practice Dentistry | 1223G0001X | 8794 | NC | Primary |
Addresses
Primary practice location
3415 Rogers Rd.
Suite 100
Wake Forest, NC 27587
Mailing address
8470 Falls of Neuse Rd
Suite 202
Raleigh, NC 27615
Phone (919) 977-0627
Other names 1
- Dr. Chris Su-Chun Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8794 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abdelbaky & Boes II, PLLC | General Practice | Past | Accepting new patients |
| Abdelbaky, Arbon & Boes, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Wake Forest, NC
- NPI 1164732160
General Practice
-
- Pediatric Dentistry
- Cary, NC
- NPI 1063868438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1497982284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8470 FALLS OF NEUSE RD",
"address_2": "SUITE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "919-977-0627",
"fax_number": "919-977-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 ROGERS RD.",
"address_2": "SUITE 100",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "27587",
"telephone_number": "919-554-9955",
"fax_number": "919-554-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "SU-CHUN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8794",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "LEE",
"middle_name": "SU-CHUN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.