Individual provider Active NPI

John Keunhee Lee, D.D.S

  • General Practice Dentistry
National Provider Identifier
1508261264
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00203948 Issued in CO
Practice address
Unit 5024
Apo, AP 96319-5024
Phone
(315) 226-6700
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019030490 IL
General Practice Dentistry 1223G0001X DEN00203948 CO Primary
Dentist 122300000X 12012235A IN

Addresses

Primary practice location

Unit 5024
Apo, AP 96319-5024

Mailing address

Unit 5024
Apo, AP 96319-5024
Phone (315) 226-6700

Other practice location 1

500 E Plaza Dr
Suite 1
Carterville, IL 62918-2006
Phone (618) 985-4200

Other names 1

  • Dr. John Mark An Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012235AINMDDentist
DEN00203948COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John K Lee DDS PLLC General Practice Current Accepting new patients

Locations

3300 E 1st Ave
Ste 580
Denver, CO 80206
Phone (303) 320-1640

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1508261264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 5024",
            "city": "APO",
            "state": "AP",
            "postal_code": "963195024",
            "telephone_number": "315-226-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "UNIT 5024",
            "city": "APO",
            "state": "AP",
            "postal_code": "963195024",
            "telephone_number": "315-226-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Plaza Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Carterville",
            "state": "IL",
            "postal_code": "629182006",
            "country_code": "US",
            "telephone_number": "618-985-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "KEUNHEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030490",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00203948",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012235A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "AN",
            "middle_name": "MARK",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.