Individual provider Active NPI

Hoeun Lee, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1518636976
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7558 Issued in NV
Practice address
1160 E Silverado Ranch Blvd Ste 130
Las Vegas, NV 89183-5812
Phone
(702) 723-2076
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7558 NV Primary

Addresses

Primary practice location

1160 E Silverado Ranch Blvd Ste 130
Las Vegas, NV 89183-5812

Mailing address

10000 S Maryland Pkwy Apt 1020
Las Vegas, NV 89183-6383

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

LicenseStateTypeSpecialty
7558NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ligon Maryland Parkway Smiles Dentistry, PC General Practice CurrentSince Sep 12, 2021 Accepting new patients

Locations

1160 E Silverado Ranch Blvd
Ste 130
Las Vegas, NV 89183
Phone (702) 723-2076

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1518636976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 S MARYLAND PKWY APT 1020",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E SILVERADO RANCH BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835812",
            "telephone_number": "702-723-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HOEUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.