Hyunjae Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5659 Issued in NM

Practice address

1620 Main St NW Ste D
Los Lunas, NM 87031-4891

Phone

(505) 565-0651

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Familia Dental Los Lunas LLC

  dba Familia Dental

  • Dental Clinic/Center
  • Los Lunas, NM
  • NPI 1417377177
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1528790375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 SILVER AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023020",
            "telephone_number": "949-940-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MAIN ST NW STE D",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870314891",
            "telephone_number": "505-565-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUNJAE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Lasater
• Madeline Grace Laski I, M.S. CF-SLP
• Andrea Lynn Lawrence, FNP
• LC Counseling Services, LLC
• Donald B Leach, O.D.
• Whitney Lee, LMHC
• Melinda Jean Leighty, LMHC
• Mariah Lente
• Jonathan Lerch, 3585
• Johnny Kyle Lester

• General Practice Dentistry in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.